A Case of Cesarean Scar Endometriosis.
- Author:
So Young KWON
1
;
Hong Seok LEE
;
Du Sik KONG
;
Geon Ho LEE
;
In Hyun KIM
Author Information
1. Department of Obstetrics and Gynecology, College of Medicine, Pochon CHA University, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Endometriosis;
Scar;
Cesarean section
- MeSH:
Abdominal Wall;
Biopsy, Needle;
Cesarean Section;
Cicatrix*;
Diagnosis;
Endometriosis*;
Female;
Humans;
Menstruation;
Pregnancy
- From:Korean Journal of Obstetrics and Gynecology
2004;47(3):581-584
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Extrapelvic endometriosis is a fairly rare phenomenon. The majority of extrapelvic endometriosis involves scar tissue following obstetric or gynecologic procedures. Abdominal wall endometriosis secondary to cesarean section is a very rare condition, being reported in less than 0.5% of patients undergoing cesarean section. It has a distinct presentation and treatment. An abdominal mass with noncyclical symptoms is a common presentation. Imaging techniques are nonspecific and needle biopsy may confirm the diagnosis. Wide excision is the treatment of choice for abdominal wall endometriosis as well as for recurrent lesions. A patient with a history of cesarean section presented with a painful, enlarging mass. The pain was cyclic and aggravated just prior to menstruation. The patient was treated with surgical scar excision pathologically confirmed as endometriosis. We present this case with a brief review of literature.