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Endometrioma in a cesarean section scar--a case report
1Division of Plastic and Reconstructive Surgery, Department of Surgery, Kaohsiung Medical University, No. 100, Shih-Chuan 1st Road, Kaohsiung 807, Taiwan. ipras2@cc.kmu.edu.tw
The Kaohsiung Journal of Medical Sciences
|October 12, 2001
Summary
Scar endometriosis is a rare condition where endometrial tissue grows in surgical scars, often presenting as painful, swollen cesarean section scars. Surgical excision is the recommended treatment for this iatrogenic condition.
Area of Science:
- Gynecology
- Surgical Pathology
Background:
- Scar endometriosis is an uncommon condition, with limited documentation in plastic surgery literature.
- It is hypothesized to result from the iatrogenic transplantation of endometrial tissue into surgical incisions.
Observation:
- This case report details an endometrioma developing within a cesarean section scar.
- The primary symptom was cyclical pain and swelling of the scar, correlating with menstruation.
Findings:
- The condition presents as a soft-tissue mass on the abdominal wall.
- Diagnosis is often based on clinical presentation, particularly the cyclical nature of symptoms.
Implications:
- Plastic surgeons should consider scar endometriosis in patients with abdominal wall masses and a history of abdominoplasty and hysterectomy.
- Prompt surgical excision is the definitive treatment, alleviating symptoms and confirming the diagnosis.