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 Varied clinical presentations of scar endometriosis: case reports

2018 ◽  
Vol 7 (7) ◽  
pp. 2968
Author(s):  
Nidhi Gupta ◽  
Farhat Mazhari ◽  
Neha Varun ◽  
Reva Tripathi
Keyword(s):  
Menstrual Cycle ◽  
Case Reports ◽  
Uterine Cavity ◽  
Reproductive Age ◽  
Rare Entity ◽  
Scar Endometriosis ◽  
Caesarean Scar ◽  
Reproductive Age Women ◽  
Clinical Presentations ◽  
Tender Mass

Endometriosis is the second most prevalent benign gynaecological condition, in reproductive age women, defined as the presence of functioning endometrial tissue outside uterine cavity. Scar endometriosis is a rare entity with an incidence of 0.3-1% among reproductive age women following obstetric and gynaecologic surgeries. Complaints of pain, tender mass, cyclical association with menstrual cycle is almost pathognomonic. Here we present two case reports of scar endometriosis recently encountered at our institute – caesarean scar endometriosis and episiotomy scar endometriosis. The quoted episiotomy scar endometriosis incidence is about 0.06 - 0.07% while that of caesarean scar endometriosis is 0.03-0.4%.

scholarly journals Scar Endometriosis in a Patient With Bladder Exstrophy

2013 ◽  
Vol 98 (2) ◽  
pp. 145-148 ◽  
Author(s):  
Takahito Kitajima ◽  
Mikihiro Inoue ◽  
Keiichi Uchida ◽  
Kohei Otake ◽  
Masato Kusunoki
Keyword(s):  
Abdominal Wall ◽  
Bladder Exstrophy ◽  
Uterine Cavity ◽  
Excisional Biopsy ◽  
High Signal ◽  
Resonance Imaging ◽  
Scar Endometriosis ◽  
Abdominal Magnetic Resonance Imaging ◽  
History Of ◽  
Lower Abdominal Wall

Abstract Endometriosis is an ectopic occurrence of tissue morphologically and functionally resembling endometrial tissue in regions outside the uterine cavity. Although scar endometriosis after surgery has been shown to be most common among all the extrapelvic forms of endometriosis, endometriosis after bladder exstrophy surgery has not been reported, and here we present the first known case. A 26-year-old woman with a history of bladder exstrophy was aware of a painful induration at the operative scar located in the left lower abdominal wall, and presented at our hospital. Although the symptoms resolved, recurring exacerbation was observed after 9 months. Abdominal magnetic resonance imaging showed a heterogeneous mass 16 mm in diameter in the left abdominal wall with high signal intensity on T1W1 and T2W1 images. She underwent excisional biopsy of the lesion under general anesthesia. Histopathology confirmed the diagnosis of endometriosis. Eighteen months after surgery, she was well and free from recurrence.

Abdominal Wall and Surgical Scar Endometriosis: Results of Magnetic Resonance Imaging

2003 ◽  
Vol 55 (4) ◽  
pp. 220-224 ◽  
Author(s):  
C. Balleyguier ◽  
C. Chapron ◽  
N. Chopin ◽  
O. Hélénon ◽  
Y. Menu
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Abdominal Wall ◽  
Resonance Imaging ◽  
Surgical Scar ◽  
Scar 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 A Rare Case of Trocar Site Endometriosis managed Laparoscopically

2014 ◽  
Vol 2 (2) ◽  
pp. 91-94
Author(s):  
Rahul Manchanda ◽  
Soma Ghoshal ◽  
BC Manjula ◽  
Anushree Mittal
Keyword(s):  
South Asian ◽  
Rare Case ◽  
English Language ◽  
Case Reports ◽  
Trocar Site ◽  
Scar Endometriosis ◽  
Ovarian Endometrioma ◽  
Language And Literature ◽  
Traditional Age ◽  
The Right

ABSTRACT Abdominal wall endometriosis, also known as scar endometriosis, is extremely rare and mainly occurs at surgical scar sites. To our knowledge, 15 case reports related to trocar site endometriosis have been published in the English language and literature to date. The traditional age old management of scar endometriosis has been wide local excision leaving a healthy margin, but recently laparoscopy has emerged out to be the management of choice even in cases of scar endometriosis. Herein, we present the case of a 39-year-old woman (who had been previously operated on for left ovarian endometrioma 11 years ago by laparoscopy) with the complaint of a painful mass at the right suprapubic trocar site in a cyclic pattern. Consequently, the scar endometriosis was excised laparoscopically, following which the patient was completely relieved of her symptoms. How to cite this article Mittal A, Manchanda R, Manjula BC, Ghoshal S. A Rare Case of Trocar Site Endometriosis managed Laparoscopically. J South Asian Feder Menopause Soc 2014;2(2):91-94.

scholarly journals Abdominal Wall Endometrioma after Laparoscopic Operation of Uterine Endometriosis

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Tihomir Vukšić ◽  
Pejana Rastović ◽  
Vedran Dragišić
Keyword(s):  
Case Report ◽  
Abdominal Wall ◽  
Final Diagnosis ◽  
Scar Tissue ◽  
Common Site ◽  
Laparoscopic Operation ◽  
Almost Everywhere ◽  
Laparoscopic Trocar ◽  
Trocar Port

Endometriosis is presence of functional endometrium outside of uterine cavum. As a pluripotent tissue, endometrium has the possibility of implanting itself almost everywhere; even implantation in abdominal wall was described, but it is not common site. This case report presents implantation of functional endometrium in abdominal wall, inside scar tissue, and after insertion of a laparoscopic trocar port. Final diagnosis was confirmed by pathohistological examination.

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 SURGICAL SCAR ENDOMETRIOSIS: A SERIES OF 14 PATIENTS AND BRIEF REVIEW OF LITERATURE

2017 ◽  
Vol 90 (4) ◽  
pp. 411-415 ◽  
Author(s):  
Andrei Mihai Malutan ◽  
Ioan Simon ◽  
Razvan Ciortea ◽  
Radu Florin Mocan-Hognogi ◽  
Marina Dudea ◽  
...  
Keyword(s):  
Rare Condition ◽  
Caesarian Section ◽  
Accurate Diagnosis ◽  
Reproductive Age ◽  
Review Of Literature ◽  
Women Of Reproductive Age ◽  
Surgical Scar ◽  
Scar Endometriosis ◽  
Abdominal Wall Endometriosis ◽  
Endometrial Cavity

Background and aims. Endometriosis is a commonly found disorder in women of reproductive age, consisting in the presence of active ectopic endometrial tissue outside of the endometrial cavity. Surgical scar endometriosis is a rare condition representing about 2% of all endometriosis cases. The purpose of this study was to assess the main characteristics, diagnosis tools and therapeutic options in abdominal wall endometriosis (AWE). Methods. We have reviewed a series of fourteen cases with histopathological confirmation of AWE that were managed in our institution.Results. The main characteristic of AWE were emphasiszed, showing that 78.57% of the patients had at least one previous caesarian section and that in only 57.14% out of ol case an accurate diagnosis of AWE was established preoperatively. Conclusion. A direct relationship between gynecological and obstetrical surgery and AWE is well established and as the caesarian section rates increase constantly, the awareness regarding AWE should also be increased.

scholarly journals Clinical profile and outcome of scar endometriosis in a tertiary care centre of Northern India

2020 ◽  
Vol 9 (2) ◽  
pp. 744
Author(s):  
Sunil Kumar Juneja ◽  
Pooja Tandon ◽  
Anshu Sharma ◽  
Anjali Sharma
Keyword(s):  
Tertiary Care ◽  
Uterine Cavity ◽  
Reproductive Age ◽  
Treatment Modalities ◽  
Definitive Treatment ◽  
Tertiary Care Centre ◽  
Scar Endometriosis ◽  
Northern India ◽  
Tender Mass ◽  
High Index Of Suspicion

Background: Endometriosis is defined as the presence and proliferation of the endometrium outside the uterine cavity affecting an estimated 89 million women of reproductive age worldwide. Endometriosis occurs in 5% to 10% of all women, often resulting in debilitating pain and infertility, endometriosis at the scar site known as Scar endometriosis has also been described following obstetrical and gynecological surgery. Scar endometriosis has a much rarer incidence with an illusive presentation and is often misdiagnosed and definitive treatment gets delayed. Objectives of this study was to review the demographic profile, clinical presentation, treatment modalities and outcome in patients with scar endometriosis.Methods: The retrospective study of patients with scar endometriosis managed at DMCH during January 2014 to December 2018 was done.Results: Eight patients of scar endometrosis were diagnosed and operated in our institution over a period of five years. All patients (six with previous caesarean section scar site and two at episiotomy site) presented with tender nodules with pain which got exaggerated during menstruation.Conclusions: A high index of suspicion of scar endometriosis should be kept in patients presented with cyclical pain and tender mass getting exaggerated during menstruation.

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  

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