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

Paul Wasserman1, Chandana Kurra1, Kristin Taylor1

  • 1Radiology, University of Florida, Jacksonville, USA.

Cureus
|March 12, 2019
PubMed

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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