scholarly journals A case series on management of scar endometriosis following C-sections

2019 ◽  
Vol 6 (7) ◽  
pp. 2621
Author(s):  
Tharun Ganapathy Chitrambalam ◽  
Sidhu Sekhar ◽  
Jeyakumar S. ◽  
Koshy Mathew Panicker
Keyword(s):  
Cesarean Section ◽  
Medical Treatment ◽  
Case Series ◽  
Uterine Cavity ◽  
Surgical Excision ◽  
Diagnosis And Treatment ◽  
Surgical Scar ◽  
Scar Endometriosis ◽  
Wide Surgical Excision ◽  
Surgical Conditions

Endometriosis is presence of functioning endometrial tissue outside the uterine cavity. Endometriosis can sometimes occur in a previous surgical scar. Scar endometriosis is rare and difficult to diagnose. It mostly follows obstetrical and gynecological surgeries. This condition is often confused with other surgical conditions. We are reporting 5 cases of scar endometriosis following cesarean section, some of which were misdiagnosed as stitch granuloma initially. Medical treatment was not helpful. All 5 patients required wide surgical excision of the lesion. The pathogenesis, diagnosis and treatment of this condition are being discussed.

scholarly journals Scar Endometriosis: Case Report with Literature Review

2014 ◽  
Vol 9 (2) ◽  
pp. 55-57
Author(s):  
P Gupta ◽  
S Gupta
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Cesarean Section ◽  
Rectus Sheath ◽  
Uterine Cavity ◽  
Rare Condition ◽  
Surgical Excision ◽  
Surgical Scar ◽  
Scar Endometriosis ◽  
Surgical Conditions

 Endometriosis is defined as presence of functioning endometrial tissue outside the uterine cavity. Endometriosis can sometimes occur in a previous surgical scar. Scar endometriosis is rare and difficult to diagnose. It mostly follows obstetrical and gynecological surgeries. This condition is often confused with other surgical conditions. We are reporting one case of scar endometriosis involving rectus sheath following cesarean section. The patient required wide surgical excision of the lesion. The pathogenesis, diagnosis and treatment of this rare condition are being discussed. DOI: http://dx.doi.org/10.3126/njog.v9i2.11764  

scholarly journals Endometriosis in cesarean section surgical scar

2007 ◽  
Vol 54 (2) ◽  
pp. 79-81 ◽  
Author(s):  
D. Stefanovic ◽  
M. Kerkez ◽  
Z. Djordjevic ◽  
S. Knezevic ◽  
Lj. Markovic ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Abdominal Wall ◽  
Uterine Cavity ◽  
Surgical Excision ◽  
Histopathologic Examination ◽  
Surgical Scar ◽  
Decidual Tissue ◽  
History Of ◽  
One Year

Introduction: Endometriosis is the presence of endometrial glands and stroma outside of uterine cavity. It may occur in the abdominal wall scar after the operation in which uterus was opened. In cesarean section scar it occurs in 0.4%. It is in 2/3 patients characterized with triad of: tumor, periodic pain associated with menses and history of cesarean section. The mechanism of endometriosis occurring in the cesarean scar is felt to be secondary to iatrogenic transplantation of endometrium or extrauterine decidual tissue into the incision during the cesarean section. Case outline. Forty years old patient with tumor 4,5x4 cm that appeared in abdominal wall scar one year after second cesarean section, followed by periodic pain and macroscopic changes associated with menses. First diagnosis was granuloma in the surgical scar, but as she had periodic symptoms, diferential diagnosis was endometriosis. Hormonal therapy with contraceptive drugs was ordered. As it was no improvement she was operated. The surgical excision of the tumor including fascia and muscle tissue was done. Sample revealed endometrium after histopathologic examination. Patient was completely recovered and without relapse of symptoms during follow up to date. Conclusion. When there is a tumor in the cesarean section scar or scar after the operation in which uterus or ovarial tube was opened, followed with periodical pain and macroscopic changes associated with menses, endometriosis should be considered. Surgical excision of the tumor is sufficient and patohistological examination confirms diagnosis. .

scholarly journals Cases of scar endometriosis after caesarean section

2021 ◽  
Vol 7 (1) ◽  
pp. 34-37
Author(s):  
Namkha Dorji ◽  
Sangay Tshering ◽  
Sonam Choden
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Rare Condition ◽  
Surgical Excision ◽  
Diagnosis And Treatment ◽  
Resection Margins ◽  
Surgical Scar ◽  
Scar Endometriosis ◽  
Presenting Symptoms ◽  
Long Duration

Introduction: The presence of functional endometrial tissue in the surgical scar, which commonly follows caesarean section is called scar endometriosis. It is a very rare condition which is commonly misdiagnosed. Case report: We report two cases of scar endometriosis which developed after caesarean section. One case was misdiagnosed as a keloid for a long duration (12 years) and other one was not diagnosed despite the characteristic presenting symptoms. Both the cases underwent surgical excision with free resection margins and histopathological confirmation of diagnosis. Conclusions: Clinicians must be aware of varying presentations of scar endometriosis to ensure timely diagnosis and treatment.

scholarly journals Case series of scar endometriosis- post caeserean section: A diagnostic pitfall

2021 ◽  
Vol 8 (4) ◽  
pp. 454-456
Author(s):  
Shilpi Singh ◽  
Mahfrid Dharwadkar
Keyword(s):  
Imaging Techniques ◽  
Case Series ◽  
Rare Condition ◽  
Surgical Excision ◽  
Scar Endometriosis ◽  
Diagnostic Pitfall ◽  
Local Site ◽  
Surgical Conditions ◽  
Median Interval

The presence and growth of ectopic functional endometrial tissue outside the uterus is called endometriosis among which scar endometriosis is rare and difficult to diagnose. It occurs as a result of obstetrical and gynecological surgeries and can be confused with other surgical conditions. We reviewed the case records of patients with the diagnosis of scar endometriosis seen in our hospital from 2015 to 2018. We found six patients of scar endometriosis. The median age of the patients was 28.5 years (range 20-31 years) and median interval from symptoms to treatment was 4 years (range 2-6 years). Four patients had first presented to either the surgery or dermatology physicians. The most common complain being cyclical pain and swelling at local site. Patients underwent wide excision of the mass with no recurrence of symptoms at a follow up ranging from 9 months to 12 years. Confirmation of the diagnosis is histopathology with wide surgical excision being the treatment of choice. We have discussed the pathogenesis, diagnosis and treatment of this condition. Imaging techniques and FNAC are indicated towards better diagnostic approach and avoid confusion with other conditions. Medical treatment is helpful in selected cases only. After studying and presenting this paper we would like to highlight on such a rare condition and prevent its misdiagnosis.

Multidisciplinary Approach of a Very Rare Infected Verrucous Carcinoma of the Scrotum

2019 ◽  
Vol 70 (4) ◽  
pp. 1476-1478
Author(s):  
Laura Raducu ◽  
Adelaida Avino ◽  
Cristina-Nicoleta Cozma ◽  
Sorin Nedelea ◽  
Andra-Elena Balcangiu-Stroescu ◽  
...  
Keyword(s):  
Adjuvant Therapy ◽  
Rare Disease ◽  
Chronic Inflammation ◽  
Male Patient ◽  
Multidisciplinary Approach ◽  
Verrucous Carcinoma ◽  
Surgical Excision ◽  
Diagnosis And Treatment ◽  
Wide Surgical Excision ◽  
The Right

Verrucous carcinoma of the scrotum is an extremely rare disease and most cases are thought to result from poor hygiene and chronic inflammation. Currently, it has not been well characterized, the etiology, diagnosis and treatment remaining poorly understood. We present the case of a 50-year-old male patient diagnosed with verrucous carcinoma of the right hemiscrotum. Wide surgical excision was performed. Favorable outcomes can be achieved by surgery, even without any adjuvant therapy, but patients should be carefully followed up.

Surgical scar endometriosis after Cesarean section: A case report

2006 ◽  
Vol 22 (5) ◽  
pp. 284-285 ◽  
Author(s):  
Stefano Luisi ◽  
Massimo Gabbanini ◽  
Sofia Sollazzi ◽  
Francesco Calonaci ◽  
Sandro Razzi ◽  
...  
Keyword(s):  
Case Report ◽  
Cesarean Section ◽  
Surgical Scar ◽  
Scar Endometriosis

scholarly journals ENDOMETRIOSIS

2018 ◽  
Vol 25 (01) ◽  
pp. 165-167
Author(s):  
Mussarat Sultana ◽  
Huma Karamat ◽  
Asma Batool
Keyword(s):  
Case Report ◽  
Cesarean Section ◽  
Clinical Examination ◽  
Diagnosis And Treatment ◽  
Scar Endometriosis ◽  
History Of

A 32 years multiparous lady with history of previous three caesarean sections,presented with pain in the scar for the last three years. Clinical examination revealed a firm andtender nodule under the scar which used to become prominent on menstruation. Ultrasoundshowed hypoechoic areas with echogenic shadowing. MRI was unremarkable. Clinical diagnosisof scar endometriosis was made. Local incision done with enblock dissection. Histopathologyconfirmed the presence of endometrial glands. This is a case report of cesarean section scarendometriosis. The pathogenesis, diagnosis and treatment of this presentation are discussed.

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 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 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.

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