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 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 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 Endometriosis of Rectus Muscle Excised During Cesarean Section: A Case Report and Literature Review

2016 ◽  
Author(s):  
Recep Erin ◽  
Kübra Baki Erin ◽  
Derya Burkankulu Ağırbaş ◽  
Burcu Kemal Okatan
Keyword(s):  
Case Report ◽  
Pregnant Woman ◽  
Literature Review ◽  
Cesarean Section ◽  
Abdominal Wall ◽  
Rectus Muscle ◽  
Surgical Excision ◽  
Treatment Method ◽  
Abdominal Wall Endometriosis ◽  
Subcutaneous Mass

<p>We aimed to present a case with abdominal wall endometriosis following cesarean section in this case report. <br />A 32 year old 39 weeks pregnant woman with G2P1 was admitted to gynaecology clinic with abdominal lump and pain in the midline. Her physical examination included a hard and painful palpable subcutaneous mass of 4x5 cm size in the midline of the abdomen which was semisolid and irreducible. <br />Under general anesthesia, the mass on the rectus muscle was excised with the healthy tissue around with the diagnosis of endometriosis during cesarean section and the pathological diagnosis was reported as endometriosis.<br />Surgical excision is the best treatment method in abdominal wall endometriosis. <br /><br /></p>

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

Ectopic cervical thymus: case report and review of pathogenesis and management

2009 ◽  
Vol 124 (6) ◽  
pp. 694-697 ◽  
Author(s):  
F Ahsan ◽  
R Allison ◽  
J White
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Literature Review ◽  
Rare Condition ◽  
Surgical Excision ◽  
Neck Mass ◽  
Rare Anomaly ◽  
Neck Lump

AbstractObjective:Ectopic cervical thymus is a rare anomaly, and 50 per cent of cases occur in children. The aim of this report was to remind clinicians of this rare condition, which is part of the differential diagnosis of a paediatric neck lump.Method:Case report together with literature review of the pathogenesis and management of ectopic cervical thymus.Results:The ectopic cervical thymus is a rare cause of a benign neck mass, and is thus usually misdiagnosed as lymphadenopathy or neoplasia. We discuss its embryology, aetiology, presentation, histopathology, radiology and management, with reference to the reported case.Conclusion:Ectopic cervical thymus should always be considered in the differential diagnosis of a paediatric neck lump. The diagnosis can often be confirmed by cytology and radiology prior to surgical excision.

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 Cesarean Scar Endometriosis: An Uncommon Surgical Complication on the Rise? Case Report and Literature Review

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Imane Khachani ◽  
Abdelhai Filali Adib ◽  
Rachid Bezad
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Considerable Increase ◽  
Surgical Complication ◽  
Treatment Options ◽  
Rare Condition ◽  
Tertiary Level ◽  
Gynecological Surgery ◽  
Cesarean Sections ◽  
Scar Endometriosis

Endometriosis is defined by the presence and growth of ectopic functional endometrial tissue outside the uterus. Scar endometriosis has been described following obstetrical and gynecological surgery. It is a rare condition, though probably on the rise, due to the considerable increase of cesarean sections performed worldwide. Its physiopathology is complex; its symptomatology is rich and diverse but thorough clinical examination along with ultrasound imaging and potentially pretherapeutic cytologic evaluation are usually efficient in diagnosing the condition. Treatment is mostly surgical. We report the case of a cesarean section scar endometriosis, managed at a tertiary level center and emphasize the diagnosis and treatment options.

Scar endometriosis: A case report and literature review

2018 ◽  
Vol 10 (3) ◽  
pp. 178-181
Author(s):  
Sara De Pinho Cunha Paiva ◽  
Priscilla Benfica Cirilio ◽  
Giulia Campos Lage ◽  
Angela Storino Das Chagas
Keyword(s):  
Case Report ◽  
Cesarean Section ◽  
Clinical Event ◽  
Clinical Feature ◽  
Surgical Scar ◽  
Scar Endometriosis ◽  
Surgical Evaluation ◽  
Biopsy Report ◽  
The Right ◽  
Obstetric Surgery

Introduction: Surgical scar endometrioma is defined as the presence of an endometrial tissue near or inside an abdominal surgical incision. This is a rare clinical event that can occur in women after gynecological or obstetric surgery, with a global prevalence estimated at 0.01%–1%. The most prevalent clinical feature includes a painful mass with a cyclic pain that exacerbates with menstruation. The aim of this work is to facilitate the identification and support the diagnosis of abdominal wall endometrioma associated with the cesarean section scar, with basis on a case study of a tumor in the cesarean surgical scar of a patient who also complains of dyspareunia and menorrhagia. Case report: A 43-year-old female patient, G4PC4A0, with a single, rounded and painful subcutaneous nodule in the right inguinal region, on the cesarean section scar, which had progressively grown for two years. Patient also reported increased nodule size during menstrual period, associated with pain and menorrhagia. In February 2016, a surgical procedure was performed and by the post-surgical evaluation, the patient had already presented a menstrual cycle and reported decrease in symptoms. Biopsy report brought findings compatible with endometriosis. Conclusion: According to the literature, the clinical picture of the patient confirms the suspected endometrioma. The set of signals and symptoms associated with well-specified additional tests allowed an early and efficient diagnosis. The knowledge of the disease and the adoption of these criteria may mean a reduced burden on health services, but mainly, improve the quality of life of patients.

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.

scholarly journals Bronchoesophageal fistula secondary to esophageal diverticulum in an adult: a case report and literature review

2021 ◽  
Vol 49 (2) ◽  
pp. 030006052199223
Author(s):  
Xiaolin Zhang ◽  
Hongmei Jiao ◽  
Xinmin Liu
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Respiratory Infections ◽  
Relevant Literature ◽  
Rare Condition ◽  
Clinical Entity ◽  
Rare Clinical Entity ◽  
Esophageal Diverticulum ◽  
Bronchoesophageal Fistula ◽  
Fatal Complications

Esophageal diverticulum with secondary bronchoesophageal fistula is a rare clinical entity that manifests as respiratory infections, coughing during eating or drinking, hemoptysis, and sometimes fatal complications. In the present study, we describe a case of bronchoesophageal fistula emanating from esophageal diverticulum in a 45-year-old man who presented with bronchiectasis. We summarize the characteristics of this rare condition based on a review of the relevant literature.

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