Scar endometriosis: A series of 3 cases

Tangri, Manoj Kumar; Lele, Prasad; Bal, Himadri; Tewari, Rohit; Majhi, Debkalyan

doi:10.1016/j.mjafi.2016.07.002

Cited by 11 publications

(19 citation statements)

References 15 publications

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“…Concerning the rising Caesarean section rate, scar endometriosis may occur more frequently than generally assumed; hence, practitioners’ attention should be on the early diagnosis, treatment, and prevention of scar endometriosis. Although the duration for the occurrence of clinical symptoms varies from 3 months to 15 years, in our case, it occurred 8 months after the second LSCS surgery [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

“…Cesarean scar endometriosis is the most common abdominal wall endometriosis, with an estimated incidence of 0.03–0.4% [ 4 , 5 , 6 , 7 , 8 ]. The pathophysiology for its occurrence is iatrogenic implantation (implantation theory), where the refluxed endometrial tissue on obstetrics and gynecological surgical manipulation is implanted on the ectopic sites [ 2 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

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Scar Endometriosis: A Rare Cause of Abdominal Pain

et al. 2022

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Scar endometriosis or incisional endometriosis is the presence of endometrial tissues with glands in the previous incision or scar. Its overall estimated incidence after post-cesarean and post-hysterectomy is 0.03–0.4% and 1.08–2%, respectively. The patient presents with non-specific symptoms such as cyclical abdominal pain at the site of a previous surgical incision and scar and an abdominal lump with a cyclical increment in size, which is tender. The diagnosis is made only after the surgical excision with confirmation by histopathological analysis. We present the case of a 31-year-old female complaining of cyclical abdominal pain and a lump on the right side of a Pfannenstiel incision for five months. She had undergone two Lower Segment Caesarean Sections (LSCSs); the last surgery was eight months prior. Surgical excision was planned with the corresponding clinical features and radiological data. After the surgical excision, the sample was sent for histopathological examination, and scar endometriosis was diagnosed.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Scar Endometriosis: A Rare Cause of Abdominal Pain

et al. 2022

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“…The imaging appearance of scar endometriosis depends on the menstrual cycle phase and duration of the process [8]. Ultrasound is often nonspecific, and our case revealed a solid, hypoechoic, vascularized soft tissue nodule with spiculated margins infiltrating the surrounding muscle tissue (Figure 1) [5]. Computed tomography (CT) and MRI have utility, although CT without contrast is limited due to the lack of soft tissue contrast.…”

Section: Discussionmentioning

confidence: 99%

“…The etiology of SE has been attributed to a transportation theory in the literature [1]. The transportation theory suggests that endometrial cells are inadvertently transported to extrauterine areas, such as incision sites, where, in some instances, endometriosis develops and is affected by the cyclical hormonal changes of menses [1, 5].…”

Section: Discussionmentioning

confidence: 99%

Catamenial Rectus Abdominis Pain Associated with Scar Endometriosis Status-post Low Transverse Cesarean Section

Wasserman¹,

Kurra²,

Taylor³

et al. 2018

Cureus

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Endometriosis is the presence of endometrial tissue outside of the uterine cavity. Scar endometriosis (SE), a rare occurrence, results from inadvertent extrapelvic transplantation of endometrial tissue to an incision site, such as from a low transverse cesarean section (LTCS). The reported incidence of abdominal wall scar endometriosis status-post cesarean section is 0.03 - 0.6%. We present a case of rectus abdominis scar endometriosis diagnosed four years following an LTCS. Our case report discusses the history/presentation, imaging findings, histopathology, and pertinent literature concerning abdominal wall scar endometriosis.

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“…Abdominal wall endometriosis, often referred to as scar endometrioma, is a rare form of extragenital endometriosis [8]. The incidence of scar endometriosis following hysterotomy is 1.08%-2% whereas the incidence after cesarean section is 0.03%-0.4% [9]. The patient’s history and physical examination is very important and is usually highly suggestive in the diagnosis of scar endometriosis, especially in the presence of the classic presentation of a palpable mass, cyclic pain, and a previous incision due to cesarean delivery or gynecologic procedure [10].…”

Section: Discussionmentioning

confidence: 99%

Abdominal Wall Endometriosis: A Case Report

Saliba

Jaafoury

Hajj

et al. 2019

Cureus

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Abdominal wall endometriosis is a rare condition that occurs after a cesarean section or pelvic surgery and it has an incidence of 0.03%-1.5% in women with previous cesarean delivery. The predominant clinical picture is cyclic pain. We report two cases of abdominal wall endometriosis. The first was a 36-year-old female patient who presented for recurrent cyclic abdominal pain and was found to have endometriosis near the cesarean scar. The second was a 40-year-old female who had the same clinical presentation and was found to have endometriosis away from the scar. These cases highlight the need to have a high index of suspicion when treating women with recurrent cyclic abdominal pain.

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Scar endometriosis: A series of 3 cases

Cited by 11 publications

References 15 publications

Scar Endometriosis: A Rare Cause of Abdominal Pain

Scar Endometriosis: A Rare Cause of Abdominal Pain

Catamenial Rectus Abdominis Pain Associated with Scar Endometriosis Status-post Low Transverse Cesarean Section

Abdominal Wall Endometriosis: A Case Report

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