Fine-needle aspiration cytology of a cesarean scar endometriosis

Nigam, Jitendra Singh; Omhare, Anita; Sharma, Ankit

doi:10.4103/tcmj.tcmj_37_17

Cited by 3 publications

(4 citation statements)

References 9 publications

(30 reference statements)

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“…It is commonly seen among women of reproductive age. Endometriosis manifests itself at pelvic or peritoneal organs as small cysts or nodules which are bluish, black or dark red in colour (Nigam et al, 2017). On histological examination, endometriosis is characterised by ectopic and atypical endometrial glands with hemosiderin deposition in stroma or within the macrophages.…”

Section: Discussionmentioning

confidence: 99%

Scar endometriosis following laparoscopic surgery: A rare case report

Shinde¹,

Chaudhari²,

Shrivastava³

et al. 2022

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Endometriosis is a major gynaecological disorder that affects 5% to 10% of female in their reproductive years. The ectopic implantation of functioning endometrium outside the uterus, with the pelvis being the most common site, is known as endometriosis. Scar endometriosis is difficult and rare to distinguish from other surgical diseases. It can be found in 0.1 percent of women with a scar on their abdomen. These lesions usually follow gynaecological and obstetrical surgeries including laparotomy and laparoscopic approaches of abdominal and pelvic cases. Following a laparoscopic myomectomy, one patient developed scar endometriosis. This rare condition's diagnosis, pathogenesis and treatment are being discussed.

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Section: Discussionmentioning

confidence: 99%

Scar endometriosis following laparoscopic surgery: A rare case report

Shinde¹,

Chaudhari²,

Shrivastava³

et al. 2022

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“…9 Secondary cutaneous endometriosis, also named as scar or iatrogenic endometriosis, is observed most commonly on the scars of cesarean sections. 10 The incidence of perineal endometriosis on the episiotomy has been reported as between 0.06% and 0.7% based on studies with a limited number of cases. 3 The other locations in which extrapelvic endometriosis could be located are gastrointestinal tract, urinary tract, lungs, and muscular structures with neuronal involvement such as obturator internus muscle, trapezius muscle, deltoid muscle, and piriformis muscle.…”

Section: Discussionmentioning

confidence: 99%

“…Ultrasound-guided biopsy and fine-needle aspiration cytology are fast and accurate methods for the diagnosis avoiding errors before management of abdominal wall endometriosis. 10 Magnetic resonance imaging (MRI) distinguishes the different planes between subcutaneous tissue and the abdominal muscle. However, all these diagnostic methods are not practical.…”

Section: Discussionmentioning

confidence: 99%

Abdominal wall endometriosis: A monocentric continuous series and review of the literature

Çelik

Karacan

Kaya³

et al. 2019

Journal of Endometriosis and Pelvic Pain Disorders

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Introduction: Endometriosis is characterized by the presence of endometrial cells anywhere outside the uterine cavity. Endometriosis has been encountered on surgical scars especially resulting from a cesarean section recently. Our aim was to investigate the patients with abdominal wall endometriosis in our clinics where all the patients having this disease are managed via surgical resection. We also compared them with the patients presented in the literature. Methods: A study was conducted on the patients with histopathological diagnosis of abdominal wall endometriosis as a case series. All the subjects were analyzed through a comprehensive medical assessment including documentation of the detailed history and physical and gynecological examination based on the patients' medical records. Results: A total of 53 patients diagnosed with abdominal wall endometriosis were included in this study. The mean age and the mean body mass index of the patients were 32.6 ± 6.5 years and 25.2 ± 3.5 kg/m 2 , respectively. A total of 49 patients had at least one operation history, mainly cesarean section. The most common sites for abdominal wall endometriosis were skin and the region containing the rectus abdominis muscle and rectus sheath, 56.6% and 18.9% respectively. The main symptom was the pain getting worse during menstruation and the presence of a mass in all patients. The main diagnostic tools in all patients were detailed history and physical examination, ultrasonography, and then histopathological confirmation after surgical excision. Conclusion: Abdominal wall endometriosis is a common diagnosis mainly due to increased cesarean section rate. Clinical suspicion has the most important place in correct diagnosis and management of abdominal wall endometriosis.

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“…But by these investigation tools the location of the mass, size, volume and local extension can be determined which may be helpful for further management plan 11,12 .…”

Section: Figure: 3 a And 3b Gross Photograph Showing Wide Excision Of Tmentioning

confidence: 99%