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Caesarean Scar Endometriosis.

Nesuma Sedhain1, Ganesh Dangal1, Aruna Karki1

  • 1Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Kathmandu Nepal.

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Scar endometriosis is a rare condition, often diagnosed after surgery. This case highlights diagnosis through surgical excision of abdominal wall endometriosis following a cesarean section.

Keywords:
Abdominal wall; caesarean section; painful scar; scar endometriosis.

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Area of Science:

  • Gynecology
  • Surgical Pathology

Background:

  • Endometriosis is a common gynecologic disorder affecting 8-15% of reproductive-aged women.
  • Scar endometriosis is a rare manifestation, typically occurring after gynecological or obstetrical surgeries.
  • Symptoms include cyclical abdominal wall pain and a palpable mass at the surgical scar.

Observation:

  • A case of abdominal wall scar endometriosis is presented in a woman four years post-cesarean section.
  • The patient experienced cyclical pain at the incision site.
  • A palpable, tender mass was noted in the scar.

Findings:

  • Diagnosis was confirmed post-operatively via histological analysis of the excised tissue.
  • Surgical excision was both diagnostic and therapeutic.

Implications:

  • This case underscores the importance of considering scar endometriosis in women with cyclical abdominal pain at surgical sites.
  • Early recognition and diagnosis can improve patient outcomes.
  • Further research into the pathogenesis and optimal management of scar endometriosis is warranted.