Parietal Mass: Two Case Reports of Rare Cesarean Scar Endometriosis

Ramdani, Abdelbassir; Rais, Kaoutar; Rockson, Obed; Serji, Badr; Harroudi, Tijani El

doi:10.7759/cureus.6918

Cited by 8 publications

(10 citation statements)

References 17 publications

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“…Imaging studies like ultrasonography, MRI and CT scan can be useful to study the depth and extent of lesions to plan surgery 7,9 . Ultrasound is usually the first imaging technique used to study the identified mass on the abdominal scar.…”

Section: Discussionmentioning

confidence: 99%

“…Since scar endometriosis is known to develop following iatrogenic implantation of endometrial tissue during caesarean section, we believe that standardization of the techniques of caesarean section would reduce its incidence. Some of the standard good surgical techniques to be employed includes suturing of uterine incision without involving endometrium, using different sponges for cleaning the endometrium and the abdominal wound during caesarean section, using separate needles to close the uterine and abdominal wound, and thorough irrigation and cleaning of abdominal wound prior to closure 7,9,13 .…”

Section: Discussionmentioning

confidence: 99%

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Cases of scar endometriosis after caesarean section

Dorji¹,

Tshering²,

Choden³

2021

Bhutan Health Journal

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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.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Cases of scar endometriosis after caesarean section

Dorji¹,

Tshering²,

Choden³

2021

Bhutan Health Journal

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“…The diagnosis is usually delayed because the signs and symptoms are not specific, and cyclic abdominal pain is not a pathognomonic sign for scar endometriosis. The differential diagnosis should be made with granuloma, desmoid tumor, lipoma, abscesses, sebaceous cysts, ventral hernias, or metastasis [ 7 ]. In our cases, the diagnosis was delayed around 2–3 years even if in the first case the pain has appeared 3 months after C-section.…”

Section: Discussionmentioning

confidence: 99%

“…Scar endometriosis is a rare form of endometriosis that typically occurs after gynecological or obstetric procedures such as caesarean sections, various laparoscopic procedures that require uterine cavity manipulation, needle tract amniocenteses, or perineal episiotomies [ 7 , 8 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

Abdominal Wall Endometriosis: Two Case Reports and Literature Review

Doroftei

Armeanu²,

Maftei

et al. 2020

Medicina

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Background and objectives: Abdominal wall endometriosis, also known as scar endometriosis, is a rare condition that is becoming increasingly common. The recent rise in incidence is attributed primarily to the surge of cesarean births, figures that could be influenced in a positive manner considering the improvements brought towards the ultrasound diagnostic methods that have been made in recent years. Materials and Methods: Here we report the cases of two Caucasian women of 38- (G2P2) and 36-years old (G1P1), both subjected to an ultrasound examination due to a specific symptomatic panel reported during anamnesis. Independently of the current status, in the first patient, there were no reported symptom-specific associations with endometriosis, but she had a known history of mild hereditary thrombophilia; the second woman suffered from two conditions positively associated with endometriosis. Results: In both cases, abnormal structures were revealed, with the diagnostic(s) of endometriosis being histologically confirmed based on a set of features observed during the investigation. Conclusions: This paper aims to highlight the importance of reducing cesarean births and to consider the diagnosis of scar endometriosis in women with a history of obstetric or gynaecological surgeries who present with cyclic, recurrent abdominal pain.

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“…Endometriosis at a scar site can be found after caesarean section, hysterectomies, amniocentesis, laparoscopic trocar tracts, or perineal episiotomy. The most frequent localization of endometriosis in surgical scars is in the abdominal skin and subcutaneous tissue [4] . Furthermore, this disease is also related to surgery performed by general surgeons, such as appendectomy, groin and umbilical hernia corrections.…”

Section: Introductionmentioning

confidence: 99%

Scar endometriosis-rare sequel of caesarean section: A case report

Saikia¹,

Shangpliang²,

Choubey³

et al. 2021

Int. J. Clin. Obstet. Gynaecol.

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Scar endometriosis is the implantation of endometrial glands and stromal cells at the incision site following obstetrics and gynaecological surgery. Although incidence is very rare, women in the reproductive age with no history of endometriosis, presents with complaints of cyclical pain at the scar due to any previous surgeries is highly suspicious of scar endometriosis. Treatment of choice is excision. Diagnosis is by histopathological examination of the excised tissue. We report a case of scar endometriosis presenting 5 years after caesarean section and emphasised on diagnosis and treatment.

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Parietal Mass: Two Case Reports of Rare Cesarean Scar Endometriosis

Cited by 8 publications

References 17 publications

Cases of scar endometriosis after caesarean section

Cases of scar endometriosis after caesarean section

Abdominal Wall Endometriosis: Two Case Reports and Literature Review

Scar endometriosis-rare sequel of caesarean section: A case report

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