scholarly journals Obstetric Scar Endometriosis: Retrospective Study on 19 Cases and Review of the Literature

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Mustafa Kaplanoglu ◽  
Dilek Kaya Kaplanoğlu ◽  
Ceren Dincer Ata ◽  
Selim Buyukkurt
Keyword(s):  
Case Series ◽  
Uterine Cavity ◽  
Scar Tissue ◽  
Reproductive Age ◽  
Pelvic Cavity ◽  
Histopathologic Examination ◽  
Review Of The Literature ◽  
Scar Endometriosis ◽  
Reproductive Age Women ◽  
Extreme Variability

Endometriosis is defined as the presence of functioning endometrial tissue outside the uterine cavity. This disease is one of the most common gynecologic disorders in reproductive age women. It generally occurs in pelvic cavity. But extrapelvic location has been defined (such as extremities, central nervous system, lungs, pleurae, liver, umbilicus, pericardium, urinary tract, intestines, and surgical scar tissue). Scar endometriosis is a rare disease and defined as presence of endometriotic lesions on the abdominal (such as cesarean section and hysterectomy) or vaginal (episiotomy) excision line. It is difficult to diagnose due to the extreme variability in presentation. The symptoms are nonspecific, typically involving pain, swelling at the incision site at the time of menstruation. Excision and histopathologic examination are necessary for diagnosis. We present a case series of obstetric scar endometriosis and review of the literature.

scholarly journals Varied clinical presentations of scar endometriosis: case reports

2018 ◽  
Vol 7 (7) ◽  
pp. 2968
Author(s):  
Nidhi Gupta ◽  
Farhat Mazhari ◽  
Neha Varun ◽  
Reva Tripathi
Keyword(s):  
Menstrual Cycle ◽  
Case Reports ◽  
Uterine Cavity ◽  
Reproductive Age ◽  
Rare Entity ◽  
Scar Endometriosis ◽  
Caesarean Scar ◽  
Reproductive Age Women ◽  
Clinical Presentations ◽  
Tender Mass

Endometriosis is the second most prevalent benign gynaecological condition, in reproductive age women, defined as the presence of functioning endometrial tissue outside uterine cavity. Scar endometriosis is a rare entity with an incidence of 0.3-1% among reproductive age women following obstetric and gynaecologic surgeries. Complaints of pain, tender mass, cyclical association with menstrual cycle is almost pathognomonic. Here we present two case reports of scar endometriosis recently encountered at our institute – caesarean scar endometriosis and episiotomy scar endometriosis. The quoted episiotomy scar endometriosis incidence is about 0.06 - 0.07% while that of caesarean scar endometriosis is 0.03-0.4%.

scholarly journals Laparoscopic Trocar Port Site Endometriosis: A Case Report and Brief Literature Review

2012 ◽  
Vol 97 (2) ◽  
pp. 135-139 ◽  
Author(s):  
Arif Emre ◽  
Sami Akbulut ◽  
Mehmet Yilmaz ◽  
Zehra Bozdag
Keyword(s):  
Abdominal Wall ◽  
Case Reports ◽  
Uterine Cavity ◽  
Reproductive Age ◽  
Trocar Site ◽  
Surgical Scar ◽  
Scar Endometriosis ◽  
Laparoscopic Trocar ◽  
Painful Mass ◽  
Trocar Port

Abstract Endometriosis is defined as the presence of ectopic endometrial tissue outside the lining of the uterine cavity. It occurs most commonly in pelvic sites such as ovaries, cul-de-sac, and fallopian tubes but also can be found associated with the lungs, bowel, ureter, brain, and abdominal wall. Abdominal wall endometriosis, also known as scar endometriosis, is extremely rare and mainly occurs at surgical scar sites. Although many cases of scar endometriosis have been reported after a cesarean section, some cases of scar endometriosis have been reported after an episiotomy, hysterectomy, appendectomy, and laparoscopic trocar port tracts. To our knowledge, 14 case reports related to trocar site endometriosis have been published in the English language literature to date. Herein, we present the case of a 20-year-old woman (who had been previously operated on for left ovarian endometrioma 1.5 years ago by laparoscopy) with the complaint of a painful mass at the periumbilical trocar site with cyclic pattern. Consequently, although rare, if a painful mass in the surgical scar, such as the trocar site, is found in women of reproductive age with a history of pelvic or obstetric surgery, the physician should consider endometriosis.

scholarly journals Endometriosis of the Canal of Nuck: A Systematic Review of the Literature

Diagnostics ◽  
2020 ◽  
Vol 11 (1) ◽  
pp. 3
Author(s):  
Anastasia Prodromidou ◽  
Anastasios Pandraklakis ◽  
Alexandros Rodolakis ◽  
Nikolaos Thomakos
Keyword(s):  
Systematic Review ◽  
Overall Survival ◽  
Clinical Presentation ◽  
Uterine Cavity ◽  
Reproductive Age ◽  
Thoracic Cavity ◽  
Review Of The Literature ◽  
Diagnostic Features ◽  
The Common ◽  
Groin Swelling

Endometriosis is a common benign gynecological condition defined as the presence of endometrial tissue in tissues outside the uterine cavity. Apart from the common sites of endometriosis, rare sites other have also been reported including the liver, the thoracic cavity, the muscles, nerves, and more rarely in a patent Nuck canal. We aim to evaluate the clinical presentation, diagnostic features, and management of the Nuck endometriosis. A meticulous search of three electronic databases was performed until May 2020 for articles reporting cases of Nuck endometriosis. A total of 36 patients from 20 studies were analyzed. Median age of patients was 36 years with 33 women being of reproductive age. A right-sided lesion was identified in 30 cases (83.3%), while all patients suffer from a groin mass with cyclic pain in a proportion of 22%. All the patients finally underwent surgery for investigation of the lesion and fixation of the defect. Five cases of malignancy were detected at final pathology. All of them were alive with a median reported overall survival of 37 months. Nuck endometriosis should be included in the differential diagnosis of female patients with groin swelling. An evaluation by a gynecologist is important when endometriosis is suspected.

scholarly journals The role of hysteroresectoscopy in the diagnosis and treatment of reproductive age women with uterine leiomyoma

2021 ◽  
Vol 5 ◽  
pp. 61-64
Author(s):  
M.A. Flaksemberg
Keyword(s):  
Menstrual Cycle ◽  
Histological Examination ◽  
Uterine Leiomyoma ◽  
Endometrial Hyperplasia ◽  
Ultrasound Examination ◽  
Uterine Cavity ◽  
Reproductive Age ◽  
Chronic Endometritis ◽  
Reproductive Age Women ◽  
Ultrasound Findings

The objective: to investigate the features of hysteroscopic picture of the uterine cavity and endometrium condition in women with uterine leiomyoma (UL) and the possibility of using the results to choose a treatment method.Materials and methods. A total amount of reproductive age women with uterine leiomyoma that was examined is 216. Among them 118 women underwent surgical treatment for UL and 98 patients treated with conservative therapy. In addition to general clinical methods, ultrasound examination, hysterorectoscopy, and histological examination of the obtained material was performed, followed by a comparative analysis of the findings.Results. According to hysteroresectoscopy, the uterine cavity in women with UL was more frequently characterized by irregular wall relief (47.7%) and irregular shape (43.1%) due to submucosal (14.4%) and intramural nodes with centripetal growth (30.6% ), which was significantly more frequent compared to ultrasound findings (13.9%, p<0.05). Endometrial polyps predominated among endometrial pathology (55.6%), which was consistent with the histological finding (59.7%) and was twice as frequent as ultrasound findings (23.1%, p<0.05). And endometrial hyperplasia (14.8%), which was consistent with ultrasound findings (18.1%) but was twice as rare compared to histological examination (36.6%, p<0.05). Chronic endometritis was detected at hysteroscopy in less than 1% of subjects, whereas at histological examination, it was 26.4%, p<0.05. Ultrasound examination revealed no endometrial transformation during the cycle in 30.1% of women, which was consistent with a mismatch in endometrial development to the chronological day of the menstrual cycle according to histological examination (23.1%).Conclusion. Hysteroresectoscopy is an important stage in the examination of women with UL, which helps to assess the condition of the uterine cavity, in particular, the degree of deformation of leiomatous nodules, which determines the clinical course of the disease and is a contributing factor to infertility, and affects the choice of treatment tactics in this cohort of patients. Hysteroresectoscopy when combined with ultrasound and histological examination of the endometrium, a more comprehensive characterisation of the endometrial condition (chronic endometritis, mismatch of the day of the menstrual cycle) and the presence of associated pathological processes (polyps and endometrial hyperplasia) that require correction can be obtained.

scholarly journals ENDOMETRIOSIS OF POSTOPERATIVE CICATRIX

2016 ◽  
Vol 1 (2) ◽  
pp. 20-24
Author(s):  
��������� ◽  
Vladimir Florensov ◽  
������� ◽  
Andrey Petukhov ◽  
����� ◽  
...  
Keyword(s):  
Clinical Manifestations ◽  
Risk Groups ◽  
Scar Tissue ◽  
Pathological Process ◽  
Reproductive Age ◽  
Surgical Specimen ◽  
Scar Endometriosis ◽  
Results Of Treatment ◽  
Ultrasound Findings ◽  
Surgical Field

Rare occurrence, absence of specific clinical manifestations, difficult diagnostics on early stages, and insufficient experience in treatment of endometriosis genitalis externa deserve special attention. The study summarizes the results of treatment of scar endometriosis in four patients (three of reproductive and one of late reproductive age) describing clinical and diagnostic peculiarities of all cases. We revealed no specific laboratory diagnostic criteria of the pathology. The article is illustrated with photos of ultrasound findings, surgical field, a fragment of scar tissue removed during the surgery, and photomicrographies of surgical specimen histological sections. All presented pictures are described with indication of pathological process markers. We have stated the discrepancy between the sizes of endometrioid infiltrations in anterior abdominal wall revealed with echosonography and the sizes of those found during the surgery. During the surgery, we discovered that parietal peritoneum was not involved in pathological process. Basing on our observations, we have made recommendations on formation of scar endometriosis risk groups. In all four cases, surgical treatment with succeeding course of hormone therapy resulted in recovery of the patients.

Recurrent pleural effusion and pain in the shoulder in women of reproductive age could have a gynecological cause: case series

2019 ◽  
Vol 8 (2) ◽  
Author(s):  
Luka Matak ◽  
Ivan Bačić ◽  
Jakov Mihanović ◽  
Nataša Lisica-Šikić ◽  
Branko Dukić ◽  
...  
Keyword(s):  
Pleural Effusion ◽  
Case Series ◽  
Uterine Cavity ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Gynecological Disease ◽  
The Right ◽  
Thoracic Endometriosis ◽  
Recurrent Pleural Effusion ◽  
Treatment And Diagnosis

Abstract Background Endometriosis is a benign disorder defined as the presence of endometrial glands and stroma outside of the uterine cavity. It has been estimated that approximately 10% of the women of reproductive age and 30–50% of the women with infertility are affected. Case presentation We report two nulliparous patients with recurrent pleural effusion and pain in the right shoulder highly suspicious for thoracic endometriosis syndrome (TES). Conclusion The objective of this study was to present patients with unusual symptoms related to gynecological disease. The second aim was to show our single institution experience as a second level hospital in terms of treatment and diagnosis of TES and diaphragmatic endometriosis.

scholarly journals Ureteric endometriosis masquerading as ureteric neoplasm

2020 ◽  
Vol 8 (9) ◽  
pp. 3377
Author(s):  
Shreya Goel ◽  
Teerthnath Srinivas ◽  
Shubha P. Bhat ◽  
Vartika Singh
Keyword(s):  
Renal Failure ◽  
Rare Case ◽  
Renal Colic ◽  
Reproductive Age ◽  
Pelvic Cavity ◽  
Pelvic Endometriosis ◽  
Diagnostic Challenge ◽  
Reproductive Age Women ◽  
Postmenopausal Female ◽  
Ureteric Stricture

Endometriosis is a disease seen in 10-15% of reproductive age women, which involves the pelvic cavity. The urinary tract is affected in 1% cases of pelvic endometriosis, while 0.1-0.4% of ureteric endometriosis which is extremely rare. Ureteric endometriosis poses a diagnostic challenge, as it can be asymptomatic or can present as renal colic. It can lead to a severe burden on kidneys like hydroureteronephrosis, renal atrophy, and irreversible renal failure. Authors report an extremely rare case of ureteric endometriosis in a postmenopausal female, who presented with complaints of lower backache. Radiologically diagnosed as neoplastic ureteric stricture.

scholarly journals PPARγ Agonists: Emergent Therapy in Endometriosis

2021 ◽  
Vol 14 (6) ◽  
pp. 543
Author(s):  
Alexandre Vallée ◽  
Jean-Noël Vallée ◽  
Alain Le Blanche ◽  
Yves Lecarpentier
Keyword(s):  
Uterine Cavity ◽  
Reproductive Age ◽  
New Agents ◽  
Reproductive Age Women ◽  
Gynecological Diseases ◽  
Pparγ Agonists ◽  
Adhesion And Invasion

Endometriosis is one of the major gynecological diseases of reproductive-age women. This disease is characterized by the presence of glands and stroma outside the uterine cavity. Several studies have shown the major role of inflammation, angiogenesis, adhesion and invasion, and apoptosis in endometriotic lesions. Nevertheless, the mechanisms underlying endometriotic mechanisms still remain unclear and therapies are not currently efficient. The introduction of new agents can be effective by improving the condition of patients. PPARγ ligands can directly modulate these pathways in endometriosis. However, data in humans remain low. Thus, the purpose of this review is to summarize the potential actions of PPARγ agonists in endometriosis by acting on inflammation, angiogenesis, invasion, adhesion, and apoptosis.

scholarly journals Clinical profile and outcome of scar endometriosis in a tertiary care centre of Northern India

2020 ◽  
Vol 9 (2) ◽  
pp. 744
Author(s):  
Sunil Kumar Juneja ◽  
Pooja Tandon ◽  
Anshu Sharma ◽  
Anjali Sharma
Keyword(s):  
Tertiary Care ◽  
Uterine Cavity ◽  
Reproductive Age ◽  
Treatment Modalities ◽  
Definitive Treatment ◽  
Tertiary Care Centre ◽  
Scar Endometriosis ◽  
Northern India ◽  
Tender Mass ◽  
High Index Of Suspicion

Background: Endometriosis is defined as the presence and proliferation of the endometrium outside the uterine cavity affecting an estimated 89 million women of reproductive age worldwide. Endometriosis occurs in 5% to 10% of all women, often resulting in debilitating pain and infertility, endometriosis at the scar site known as Scar endometriosis has also been described following obstetrical and gynecological surgery. Scar endometriosis has a much rarer incidence with an illusive presentation and is often misdiagnosed and definitive treatment gets delayed. Objectives of this study was to review the demographic profile, clinical presentation, treatment modalities and outcome in patients with scar endometriosis.Methods: The retrospective study of patients with scar endometriosis managed at DMCH during January 2014 to December 2018 was done.Results: Eight patients of scar endometrosis were diagnosed and operated in our institution over a period of five years. All patients (six with previous caesarean section scar site and two at episiotomy site) presented with tender nodules with pain which got exaggerated during menstruation.Conclusions: A high index of suspicion of scar endometriosis should be kept in patients presented with cyclical pain and tender mass getting exaggerated during menstruation.

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