scholarly journals Caesarean Scar Endometriosis

2018 ◽  
Vol 15 (3) ◽  
pp. 292-294 ◽  
Author(s):  
Nesuma Sedhain ◽  
Ganesh Dangal ◽  
Aruna Karki ◽  
Hema K Pradhan ◽  
Ranjana Shrestha ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Abdominal Wall ◽  
Histological Analysis ◽  
Rare Condition ◽  
Surgical Excision ◽  
Reproductive Age ◽  
Scar Endometriosis ◽  
Incision Site ◽  
Tender Mass ◽  
Reproductive Age Group

Endometriosis is a common benign gynecologic disorder defined as the presence of endometrial glands and stroma outside of the normal location. The overall prevalence is 8–15% in women of reproductive age group. Scar endometriosis is a rare disease, and is difficult to diagnose. It is commonly seen following obstetrical and gynecological surgeries. The symptoms are non-specific, typically involving abdominal wall pain at the incision site at the time of menstruation and palpable tender mass in the incision site. The diagnosis is frequently made only after excision of the diseased tissue and its histological analysis. We present here a case of abdominal wall scar endometriosis in a woman who had undergone a caesarean section four years ago. Surgical excision led to the diagnosis of scar endometriosis. The pathogenesis, diagnosis and treatment of this rare condition are discussed.Keywords: Abdominal wall; caesarean section; painful scar; scar endometriosis.

scholarly journals A prospective study of abdominal wall endometriomas: a review of 16 cases

2017 ◽  
Vol 6 (7) ◽  
pp. 2784
Author(s):  
Y. Lakshmi Nalini ◽  
Manipal Kumar Puvvala ◽  
A. Sarath Chandra ◽  
. Rajalingam
Keyword(s):  
Surgical Treatment ◽  
Caesarean Section ◽  
Abdominal Wall ◽  
Uterine Cavity ◽  
Rare Condition ◽  
Surgical Excision ◽  
Previous Caesarean Section ◽  
Abdominal Wall Endometriosis ◽  
A Prospective Study ◽  
Ectopic Endometrium

Background: Endometriosis is a disorder in which an ectopic endometrial tissue grows outside the uterine cavity. The ectopic endometrium in abdominal wall is called as abdominal wall endometriosis (AWE). AWE is a very rare condition and exact incidence is not known. This is usually known to develop along with previous surgical scars especially following Caesarean section and Hysterectomy.Methods: Retrospective analysis of the patients operated for AWE was done. Data relating to age, symptomology, and previous caesarean section, relation to symptoms with the menstrual cycle, physical examination, surgical treatment and post-operative course was analyzed.Results: 16 patients were operated during the study period of 3 years between September 2013-september 2016.The ages ranged between 20-35 years. Presences of local mass and cyclical pain during menstruation were the main symptoms. Ultrasonography was done in all the cases and CT abdomen was done in few cases (2) to know the exact depth of the mass and to differentiate from other diseases. Wide surgical excision was carried out in all cases.Conclusions: There is definite relationship with AWE and caesarean sections in women.

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 Large cervical fibroid: a rare case report

2019 ◽  
Vol 8 (8) ◽  
pp. 3414
Author(s):  
Sunanda N.
Keyword(s):  
Uterine Fibroids ◽  
Total Abdominal Hysterectomy ◽  
Large Mass ◽  
Abdominal Hysterectomy ◽  
Reproductive Age ◽  
Pelvic Tumors ◽  
Rare Case Report ◽  
Tender Mass ◽  
Restricted Mobility ◽  
Reproductive Age Group

Although leiomyomas are the most common pelvic tumors presenting in the reproductive age group, cervical fibroids are rare accounting for 2% of all uterine fibroids. We report a case of 40 year old lady presenting with a firm, non-tender mass of 22-24 weeks size pregnant uterus with restricted mobility. Laparotomy showed a large mass arising from the anterior lip of cervix, with a small uterus pushed posteriorly. Enucleation followed by total abdominal hysterectomy was done. Large cervical fibroids are rare, presenting with surgical difficulties. Careful dissection by expert hands is needed in the management of such cases. 

scholarly journals Umbilical endometriosis along with peritoneal endometriosis: a case report

2019 ◽  
Vol 8 (5) ◽  
pp. 2106
Author(s):  
T. Ramani Devi ◽  
C. Archana Devi ◽  
C. Aparna Devi
Keyword(s):  
Surgical Excision ◽  
Reproductive Age ◽  
Rare Entity ◽  
Pelvic Endometriosis ◽  
The Past ◽  
Peritoneal Endometriosis ◽  
Laparoscopic Sterilization ◽  
Reproductive Age Group ◽  
Umbilical Endometriosis

Incidence of endometriosis is around 10 to 15% in women of reproductive age group. Umbilical endometriosis is a very rare entity. Extra genital endometriosis accounts to 3% of endometriosis. Incidence of umbilical endometriosis is 0.5%-4% of extra genital endometriosis. 30 years old multi gravida was referred to our hospital with c/o periodic bleeding from the umbilicus for the past 3 months. She was also having dysmenorrhoea for about 3 months. On examination, patient had a small bluish nodule in the umbilicus around 1.5x1.2 cm in size. Clinically there was suspicion of pelvic endometriosis as the uterus was retroverted and fixed. CT abdomen showed a small hypo-echoeic area in the umbilicus and uterus was adenomyotic with normal ovaries. Patient was given the option of laparoscopy and excision of umbilicus, as there was suspicion of peritoneal endometriosis and the patient also insisted upon laparoscopic sterilization. Laparoscopy showed early peritoneal endometriosis with pelvic adhesions and the same adhesiolysis was done along with cauterization of endometriosis. Sterilization was also done as per the patient’s request. Umbilical excision and layer closure was done. Umbilical endometriosis is a rare entity. This patient had associated early pelvic endometriosis. Umbilical endometriosis could be secondary to the lympho vascular spread from the pelvic endometriosis or primary umbilical endometriosis. History, clinical and imaging were pointing towards umbilical endometriosis. Surgical excision of umbilical endometriosis and cauterisation of early pelvic endometriosis were done. Patient needs follow up. Umbilical endometriosis may be primary or secondary which needs total excision and follow up.

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 Caesarean scar endometriosis: a case report

2018 ◽  
Vol 7 (3) ◽  
pp. 1221
Author(s):  
Fatimazahra Cherrabi ◽  
Mounir Moukit ◽  
Jaouad Kouach ◽  
Driss Moussaoui Rahali ◽  
Mohammed Dehayni
Keyword(s):  
Case Report ◽  
Preoperative Diagnosis ◽  
Surgical Excision ◽  
Reproductive Age ◽  
Rare Entity ◽  
Radiological Imaging ◽  
Women Of Reproductive Age ◽  
Scar Endometriosis ◽  
Caesarean Scar ◽  
Appropriate Treatment

Endometriosis is a common disorder in women of reproductive age but is rarely observed in abdominal scar after caesarean section. The authors report a case of 35-year-old woman referred for a painful lump at caesarean scar. Preoperative diagnosis of caesarean scar endometriosis was made on the basis of clinical examination and radiological imaging and confirmed histologically after large surgical excision of the mass. Increasing awareness of this rare entity among clinicians can help in early diagnosis and appropriate treatment.

Pseudoangiomatous Stromal Hyperplasia: An Overview

2010 ◽  
Vol 134 (7) ◽  
pp. 1070-1074 ◽  
Author(s):  
Renu K. Virk ◽  
Ashraf Khan
Keyword(s):  
Specific Treatment ◽  
Progesterone Receptors ◽  
Surgical Excision ◽  
Reproductive Age ◽  
Minimal Risk ◽  
Pseudoangiomatous Stromal Hyperplasia ◽  
Malignant Lesions ◽  
Collagenous Stroma ◽  
Cut Surface ◽  
Reproductive Age Group

Abstract Pseudoangiomatous stromal hyperplasia (PASH) of the breast is a benign, proliferative mesenchymal lesion with possible hormonal etiology. It typically affects women in the reproductive age group. Pseudoangiomatous stromal hyperplasia is frequently an incidental histologic finding in breast biopsies performed for other benign or malignant lesions. Rarely, it can present as a firm, painless breast mass, which has been referred to as nodular or tumorous PASH. Grossly, tumorous PASH is a well-circumscribed, firm, rubbery mass with solid, homogenous, gray-white cut surface. On histologic examination, it is characterized by the presence of open slitlike spaces in dense collagenous stroma. The spaces are lined by a discontinuous layer of flat, spindle-shaped myofibroblasts with bland nuclei. The spindle cells express progesterone receptors and are positive for vimentin, actin, and CD34. The most important differential diagnosis on histopathology is angiosarcoma. Pseudoangiomatous stromal hyperplasia discovered incidentally does not require any additional specific treatment. Tumorous PASH is treated by local surgical excision with clear margins and the prognosis is excellent, with minimal risk of recurrence after adequate surgical excision.

Clinical Study on Risk Factors of Pelvic Organ Prolapse in Reproductive Age Group and Study of Abdominal Sling Surgeries done for It, with respect to Early Complications, Anatomical Results, and Symptoms of Descent

2016 ◽  
Vol 8 (3) ◽  
pp. 202-206
Author(s):  
M Lakshmidevi ◽  
HS Sheela
Keyword(s):  
Risk Factors ◽  
Pelvic Organ Prolapse ◽  
Abdominal Wall ◽  
Anterior Abdominal Wall ◽  
Pelvic Organ ◽  
Reproductive Age ◽  
Age Group ◽  
Early Complications ◽  
Sling Surgery ◽  
Reproductive Age Group

ABSTRACT Introduction The purpose of a conservative procedure is the correction and restoration of the prolapse with the most effective long-lasting result, which allows sexual functioning and, for young patients, conservation of reproduction. Objectives To study the risk factors for prolapse in reproductive age group; to study various conservative surgeries done for pelvic organ prolapse (POP). Materials and methods This is a retrospective study conducted on patients presenting with pelvic organ prolapse in reproductive age group, at Vydehi Institute of Medical Sciences and Research Center, from June 2008 to June 2014. Results We identified 68 women with uterovaginal prolapse in reproductive age group who underwent conservative surgeries: 26 (18%) underwent Virkud's surgery, 20 (29.4%) underwent Shirodkar's sling surgery, and 22 (32.3%) underwent Purandare's sling surgery. There was no major difference in intraoperative and postoperative details in all three surgeries. Postoperative improvement in symptoms was 16 (80%) in Shirodkar's group, 20 (90%) in Virkud's composite sling surgery, and 16 (61.5%) in anterior abdominal wall cervicopexy surgery. Conclusion Obstetric risk factors are the major contributing factors for pelvic organ prolapse in the reproductive age group. Proper intranatal care will help in reducing the problem; all the conservative surgeries have similar intraoperative, postoperative morbidity and are similar with respect to early anatomical correction. Urinary tract infection and urinary retention were more in anterior abdominal wall hysteropexy group; Patient's satisfaction and success rate is more in Sacropexy and Virkud's composite surgery group compared to anterior abdominal wall hysteropexy group. How to cite this article Lakshmidevi M, Venkatesh S, Sheela HS. Clinical Study on Risk Factors of Pelvic Organ Prola in Reproductive Age Group and Study of Abdominal Sling Surgeries done for It, with respect to Early Complications, Anatomical Results, and Symptoms of Descent. J South Asian Feder Obst Gynae 2016;8(3):202-206.

scholarly journals Scar endometriosis: not a rarity now a day

2018 ◽  
Vol 7 (4) ◽  
pp. 1641
Author(s):  
Mishu Mangla ◽  
Ruchira Nautiyal ◽  
Deepmala Deepmala ◽  
Jashan Chhatwal
Keyword(s):  
Preoperative Diagnosis ◽  
Clinical Presentation ◽  
Preventive Measures ◽  
Surgical Excision ◽  
Previous Surgery ◽  
Scar Endometriosis ◽  
Primary Surgery ◽  
Incision Site ◽  
History Of ◽  
Obstetric Surgery

Endometriosis at the site of previous surgery scar is much on the rise now-a-days mainly due to increased rate of caesarean sections. Generally, it presents as a triad of underlying mass at the incision site, cyclical menstrual scar pain with or without discharge from scar site, and history of previous gynecological or obstetric surgery leads to the preoperative diagnosis. In rare cases, the clinical presentation is atypical, and diagnosis is mad after surgical excision. Here we discuss a case of scar endometriosis that presented to us with complaint of greenish coloured discharge from a lesion below the primary scar site 5 years after the primary surgery. Through this article, authors wish to discuss the etiology, management and preventive measures for scar endometriosis.

Sign in / Sign up

Export Citation Format

Share Document