Abdominal wall scar endometriosis post caesarean section – A case series
Journal Title: Medpulse International Journal of Surgery - Year 2017, Vol 4, Issue 3
Abstract
Aim: To evaluate abdominal wall scar endometriosis post caesarean section. Methods: Medical data of 10 patients who presented to our institution with abdominal wall endometrioma were evaluated retrospectively and reviewed literature in this case series. The diagnostic approaches and treatment is discussed. Results: All patients had a painful mass located at abdominal scars with history of caesarean section. The ages ranged from 30 to 35 and Doppler ultrasonography (US) detected hypoechoic mass with a mean diameter of 40 mm. Treatment was achieved with surgical excision in all patients followed by mesh repair in 6 patients and anatomical repair in 4 cases. Conclusion: Abdominal scar endometriosis is a rare entity and one should have high index of suspicion when a woman presents with a painful lump in the surgical scar with significant previous gynaecological procedural history. Pre-operative diagnosis can be made with FNAC and imaging studies with proper clinical history. Surgical treatment by wide excision remains the treatment of choice and take care against intraoperative auto-inoculation of endometrial tissue in order to prevent recurrences
Authors and Affiliations
Vidyadhar Kinhal, Mahesh Desai, Varunkumar Varunkumar
Keywords
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