scholarly journals Case report on an enigma of caesarean section: ‘scar endometriosis’

2021 ◽  
Vol 10 (9) ◽  
pp. 3650
Author(s):  
Anamika Singh
Keyword(s):  
Case Report ◽  
Gastrointestinal Tract ◽  
Caesarean Section ◽  
Medical Treatment ◽  
Abdominal Wall ◽  
Wide Excision ◽  
Scar Endometriosis ◽  
Pelvic Peritoneum ◽  
Pouch Of Douglas ◽  
Surgical Conditions

Endometriosis is described as a disease in which functional endometrial glands and stroma that commonly lines the uterus grows outdoor the uterus. The resulting cystic or solid tumoral masses due to endometriosis are named as endometrioma. They're normally seen within the ligaments of uterus, ovaries, pouch of Douglas and pelvic peritoneum however endometriosis has additionally been noted in nose, breast, lung, spleen, gastrointestinal tract, kidney, abdominal wall, however scar endometriomas are extremely uncommon and difficult to diagnose. This situation may be puzzled with different surgical conditions, however imaging strategies and FNAC can assist in diagnosing it better. Medical treatment is helpful in selected cases but wide excision is the treatment of choice.

scholarly journals Scar Endometriosis, An Uncommon Entity

1970 ◽  
Vol 29 (2) ◽  
pp. 99-101
Author(s):  
L Saha
Keyword(s):  
Menstrual Cycle ◽  
Caesarean Section ◽  
Abdominal Wall ◽  
Malignant Transformation ◽  
Benign Lesion ◽  
Clinical Findings ◽  
Wide Excision ◽  
Scar Endometriosis ◽  
Uncommon Condition ◽  
High Index Of Suspicion

Scar endometriosis is an uncommon condition where there is presence of endometrial tissue in the abnormal sites. Generally this is a benign lesion although malignant transformation is possible. Commonest site is at the site of laparoscopy done for non gynaecologic indications. Extrapelvic sites are fairly uncommon, among which abdominal wall may also be affected. This case of scar endometriosis was diagnosed after 2 years of caesarean section. Patient presented with pain and swelling below the umbilicus. Pain had a distinct relationship with the menstrual cycle. Swelling appeared later and was slowly increasing in size. There was a high index of suspicion based on history and clinical findings. Wide excision was done and histopathogy reported the lesion as scar endometriosis. DOI: http://dx.doi.org/10.3329/jbcps.v29i2.7955 (J Bangladesh Coll Phys Surg 2011; 29: 99-101)

scholarly journals A case report of caesarean scar endometriosis

2018 ◽  
Vol 17 (1) ◽  
pp. 19-21
Author(s):  
Efterpi Tingi
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Abdominal Wall ◽  
Emergency Caesarean Section ◽  
Scar Endometriosis ◽  
Caesarean Scar ◽  
Emergency Caesarean ◽  
Extrapelvic Endometriosis ◽  
Discrete Mass

Although it is uncommon, extrapelvic endometriosis can form a discrete mass known as an abdominal wall endometrioma. The incidence of abdominal wall endometriomas has been estimated to be 0.03% to 0.15% of all cases of endometriosis. We report a case of scar endometriosis in Pfannesteil scar in a 31 year old woman, who presented six years following an emergency Caesarean Section, complaining of some lumps on her incision scar. The patient underwent laparotomy followed by the excision of five endometriotic nodules.

scholarly journals Scar Endometriosis: A Case Report of This Uncommon Entity and Review of the Literature

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Cihangir Uzunçakmak ◽  
Ahmet Güldaş ◽  
Hasene Özçam ◽  
Kemal Dinç
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Review Of The Literature ◽  
Lower Segment ◽  
Scar Endometriosis ◽  
Lower Segment Caesarean Section ◽  
Surgical Conditions ◽  
Extrapelvic Endometriosis

Scar endometriosis is an infrequent type of extrapelvic endometriosis that is rather close together with obstetrical and gynecological surgeries. It is mostly confused with other dermatological or surgical conditions and delays the diagnosis. We report a case of a 50-year-old woman presenting with scar endometriosis 23 years after her last lower segment caesarean section. The epidemiology, diagnosis, pathogenesis, and treatment of the situation are discussed.

scholarly journals Isolated Duodenal Crohn's Disease: A Case Report and a Review of the Surgical Management

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Faruk Karateke ◽  
Ebru Menekşe ◽  
Koray Das ◽  
Sefa Ozyazici ◽  
Pelin Demirtürk
Keyword(s):  
Crohn’S Disease ◽  
Case Report ◽  
Gastrointestinal Tract ◽  
Crohn's Disease ◽  
Medical Treatment ◽  
Immunosuppressive Therapy ◽  
Surgical Management ◽  
Surgical Intervention ◽  
Surgical Options ◽  
Crohn’S Diseases

Crohn's disease may affect any segment of the gastrointestinal tract; however, isolated duodenal involvement is rather rare. It still remains a complex clinical entity with a controversial management of the disease. Initially, patients with duodenal Crohn' s disease (DCD) are managed with a combination of antiacid and immunosuppressive therapy. However, medical treatment fails in the majority of DCD patients, and surgical intervention is required in case of complicated disease. Options for surgical management of complicated DCD include bypass, resection, or stricturoplasty procedures. In this paper, we reported a 33-year-old male patient, who was diagnosed with isolated duodenal Crohn’s diseases, and reviewed the surgical options in the literature.

scholarly journals Endometriosis-associated Clear Cell Carcinoma of the Abdominal Wall After Caesarean Section: A Case Report and Review of the Literature

In Vivo ◽  
2020 ◽  
Vol 34 (4) ◽  
pp. 2147-2152
Author(s):  
LUCA GIANNELLA ◽  
MATTEO SERRI ◽  
ELENA MACCARONI ◽  
JACOPO DI GIUSEPPE ◽  
GIOVANNI DELLI CARPINI ◽  
...  
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Cell Carcinoma ◽  
Abdominal Wall ◽  
Clear Cell ◽  
Clear Cell Carcinoma ◽  
Review Of The Literature

scholarly journals Outcome of a multimodal therapy of a recurrent adenocarcinoma arising from Caesarean section scar endometriosis—A case report

2010 ◽  
Vol 15 (3) ◽  
pp. 75-77 ◽  
Author(s):  
Zbigniew Drukała ◽  
Beata Ciborowska-Zielińska ◽  
Jadwiga Kubrak ◽  
Danuta Rogowska
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Multimodal Therapy ◽  
Scar Endometriosis

scholarly journals Caesarean scar endometriosis

2021 ◽  
Vol 10 (11) ◽  
pp. 4331
Author(s):  
Garima Kumari
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Caesarean Section ◽  
Lower Abdominal Pain ◽  
Clinical History ◽  
Lower Segment ◽  
Scar Endometriosis ◽  
Lower Segment Caesarean Section ◽  
Caesarean Scar ◽  
Menstrual History

 Endometriosis is defined by the presence and growth of ectopic functional endometrial tissue outside the uterus. The symptoms are nonspecific, typically involving abdominal wall pain at the time of menstruation. It commonly follows obstetrical and gynecological surgeries. The diagnosis is frequently made only after excision of scar the diseased tissue. A case report of 34 year old female patient presenting with scar endometriosis 7 years after her last LSCS (lower segment caesarean section). The patient came with the complaint of supra pubic swelling since 6 months, which was growing slowly. Her menstrual history was regular, but she had lower abdominal pain during menstruation. On clinical history, examination and USG finding the swelling was diagnosed as scar endometriosis.

scholarly journals Is clear cell carcinoma of abdominal wall surgery scar associated with endometriosis a poor prognosis? A case report and literature review

2021 ◽  
Author(s):  
Xuzhi Liang ◽  
Hao Zeng ◽  
Zhe Tang ◽  
Jiejie Liao ◽  
Jiangtao Fan
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Literature Review ◽  
Cell Carcinoma ◽  
Abdominal Wall ◽  
Clear Cell ◽  
Clear Cell Carcinoma ◽  
Specific Marker ◽  
Tumor Biopsy ◽  
Wall Mass

Abstract BackgroundClear cell carcinoma of abdominal wall surgery scar is a rare condition that can have many potential causes, and its early diagnosis is difficult after undergoing obstetrical and gynecological surgery unless performing tumor biopsy. So far, about 45 cases have been reported in the literature. This paper provides a case report and literature review of clear cell carcinoma on abdominal wall surgical scar.Case presentationWe described the case of a 47-year-old woman reporting two lumps in the scar of abdomen. Her medical history was marked by a previous Caesarean section and two excisions of benign endometriosis nodules at the scar. Physical examination found a mass of about 6×5×5 cm on the left side of the scar with mucoid on the surface and a fixed abdominal wall mass of about 10×10×8 cm in the 2 transverse fingers under the umbilicus. Histological examination proved a clear cell carcinoma result. The patient received tumor excision and first-line chemotherapy with complete remission. A review of the literature showed that 91.3% of the cases had had a Caesarean section. Besides, approximately 34.2% of women died 5–48 months after diagnosis. The average age of women was 46.5 years and the average tumor size was 10 cm.ConclusionThe abdominal wall mass of middle-aged women is closely related to the scar left by the previous Cesarean section and must be investigated in time and properly. Preoperative diagnosis is difficult and often incorrect, and there is no specific marker for malignant transformation. Treatment usually includes surgery, chemotherapy, and radiotherapy, but the prognosis is poor.

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