Caesarean section: a case report of critical attempt to abdominal wall

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.

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

10.21203/rs.3.rs-146993/v1 ◽

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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Postpartum septic pelvic thrombophlebitis and ovarian vein thrombosis after caesarean section: a rare case report

BMC Pregnancy and Childbirth ◽

10.1186/s12884-021-04037-4 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Qin Shi ◽

Deborah Shulamite Gandi ◽

Yurong Hua ◽

Yi Zhu ◽

Jinhan Yao ◽

...

Keyword(s):

Case Report ◽

Caesarean Section ◽

Abdominal Wall ◽

Bleeding Complications ◽

Ovarian Vein ◽

Abdominal Incision ◽

Vein Thrombosis ◽

Asian Populations ◽

Anti Inflammatory ◽

The Right

Abstract Background Septic pelvic thrombophlebitis (SPT) is a well-recognized but rare puerperal complication that has two types: ovarian vein thrombophlebitis (OVT) and deep septic pelvic thrombophlebitis (DSPT). The present case report describes the clinical and imaging findings of a female patient diagnosed with right ovarian vein infectious thrombophlebitis after caesarean section (C-section). Case presentation A 35-year-old G3P2 female who presented with a foetal vein Galen malformation at 41 weeks of gestation underwent C-section. The patient had high fever after C-section, and anti-inflammatory treatment was not effective within 1 week. An abdominal wall incision haematoma was found, and a second surgery for the removal of the abdominal wall haematoma was performed. The patient was ultimately diagnosed with abdominal incision haematoma and right ovarian vein infectious thrombophlebitis after C-section. We used imipenem and tigecycline to strengthen the anti-inflammatory effects, simultaneously administrating low-molecular-weight heparin and warfarin as anticoagulant therapy. On the 30th day after C-section, the right ovarian vein thrombus disappeared. Conclusion This case illustrates the need to consider the potential relationship between abdominal incision haematoma and ovarian vein thrombophlebitis. Despite advances in the management of venous thromboembolism globally, more data on epidemiology in terms of first incidence, prevalence, recurrence and risk factors, management of bleeding complications, and increased awareness in Asian populations are necessary.

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

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20213508 ◽

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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