Surgical Scar Endometriosis: A Series of 14 Patients and Brief Review of Literature

Măluţan, Andrei Mihai; Şimon, Ioan; Ciortea, Răzvan; Mocan-Hognogi, Radu Florin; Dudea, Marina; Mihu, Dan

doi:10.15386/cjmed-743

Cited by 11 publications

(15 citation statements)

References 18 publications

(34 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Most of these involve the CS procedure. For example, the endometrium should be excluded during hysterorraphy, visceral and parietal peritoneum should be sutured, instruments used for hysterorraphy should be changed for closure and abundant abdominal lavage should be assured [1,2,7,16,24,26,27].…”

Section: Discussionmentioning

confidence: 99%

Abdominal wall endometriosis: An 11-year retrospective observational cohort study

Marras

Pluchino

Petignat

et al. 2019

European Journal of Obstetrics & Gynecology and Reproductiv

View full text Add to dashboard Cite

ObjectiveThe objective of this study was to review the records of patients with excised abdominal wall endometriosis (AWE) to determine patient characteristics, diagnostic methods, presence of concurrent pelvic endometriosis and type of surgery.Study designMedical records from an 11-year period were searched to identify histologically confirmed AWE cases. Descriptive data were collected and analyzed. Two subgroups were differentiated: isolated AWE and pelvic endometriosis-associated AWE.ResultsThirty-five women with AWE were included. The most common symptom was cyclic abdominal or parietal pain (68.6%); 17.1% of the women had no symptoms. Twenty-nine women (82.8%) had a history of gynecological or obstetrical surgery, most commonly cesarean section (CS). The mean interval between prior surgery and appearance of symptoms was 5.3 years. Six women (17.1%) had no prior surgery; all six presented with umbilical nodules, nulliparity and confirmed mild to severe pelvic endometriosis. Among all patients, 34.3% had concurrent pelvic endometriosis, 40% presented with isolated AWE and 25.7% had no pelvic exploration. Women with concurrent pelvic endometriosis had significantly lower parity, smaller nodule size and a higher likelihood of umbilical location than those with isolated AWE (p < 0.05). A history of CS was more commonly found in women with isolated AWE. The overall recurrence rate over the study period was 11.4%, with a mean follow-up period of 5.2 years.ConclusionsAWE is an uncommon condition associated with long diagnostic and therapeutic delays. In patients with umbilical AWE and no surgical history, pelvic endometriosis is commonly present and should be highly suspected.

show abstract

Section: Discussionmentioning

confidence: 99%

Abdominal wall endometriosis: An 11-year retrospective observational cohort study

Marras

Pluchino

Petignat

et al. 2019

European Journal of Obstetrics & Gynecology and Reproductiv

View full text Add to dashboard Cite

show abstract

“…This information might constitute a baseline for further investigations necessary to confer the effects of lactation. In literature the time between the surgery and the onset of symptoms of CSE vary widely (8,11,22,23). In some reports the time between the surgery and the onset of symptoms was reported as 1 month (8,22).…”

Section: Alpha and Beta Free Globulins Secreted By Decidual Cells Durmentioning

confidence: 99%

Prevalence of Caesarean Section Scar Endometriosis: 10-years Experience of a Tertiary Center and Retrospective Evaluation of 40 cases

Erdoğan¹

2020

Erciyes Med J

View full text Add to dashboard Cite

“…Az endometriosis jóindulatú, krónikus kórkép, melyet funkcionáló endometrium és stroma ectopiás, méhen kívüli elhelyezkedése, működése okoz [7]. A rendelkezésre álló irodalom az endometrialis szövet méhen kívüli spontán megjelenését több elmélettel magyarázza, melyek közül a retrográd menstruációs teória a legelfogadottabb.…”

Section: Megbeszélésunclassified

Hasfali endometriosis: differenciáldiagnosztikai nehézségek a radiológus szemszögéből

et al. 2019

View full text Add to dashboard Cite

The incidence of endometriosis, including atypical forms of the disease, has been continuously growing, thus increasingly challenging for the imaging specialists as well. We conducted a retrospective study to analyze the results of ultrasound-guided interventions between 2016 and 2018. All interventions were performed in female patients due to uncertain abdominal wall lesions at the University of Szeged, Hungary. The abdominal wall lesions were incidentally detected, one by CT, the others by ultrasound examinations. We identified 12 cases during the study period. The average age of the patients was 59 years (29–79), 8 of them had abdominal surgery in their medical history. The mean diameter of the masses was 34.4 mm (20–49 mm). Since the indication of imaging examinations was the evaluation of a known or suspected malignancy, four patients had undergone an MRI prior to the biopsy. In addition, ultrasound-guided biopsy was not performed in another two patients, and the diagnosis was established by histological examination of the surgically removed specimens. The histological examination revealed malignant primary serous epithelial tumor in one case, metastases in six cases, endometriosis in six patients and abdominal wall abscess was found in one patient. Endometriosis was more frequent in the younger patients. The likelihood of endometriosis as a cause of abdominal wall lesions of younger, premenopausal female patients is rather high, especially with obstetrical or gynaecological operations in the medical history. Ultrasound plays a primary role in the detection and therapy planning of these lesions. Orv Hetil. 2019; 160(35): 1395–1403.

show abstract

Surgical Scar Endometriosis: A Series of 14 Patients and Brief Review of Literature

Cited by 11 publications

References 18 publications

Abdominal wall endometriosis: An 11-year retrospective observational cohort study

Abdominal wall endometriosis: An 11-year retrospective observational cohort study

Prevalence of Caesarean Section Scar Endometriosis: 10-years Experience of a Tertiary Center and Retrospective Evaluation of 40 cases

Hasfali endometriosis: differenciáldiagnosztikai nehézségek a radiológus szemszögéből

Contact Info

Product

Resources

About