Endometriosis at Cesarean Scar Presenting As an Acute Abdomen.
Nayana Gaba1, Saurabh Gaba2, Monica Gupta2
1Obstetrics and Gynaecology, Postgraduate Institute of Medical Education and Research, Chandigarh, IND.
Cureus
|April 25, 2020
Summary
Scar endometriosis, a rare condition, can cause severe cyclical abdominal pain in women. Surgical removal of the cesarean scar lesion led to complete symptom resolution in this case.
Area of Science:
- Gynecology
- Surgical Pathology
Background:
- Endometriosis is a condition where tissue similar to the uterine lining grows outside the uterus.
- Abdominal wall endometriosis is uncommon, often occurring after gynecological surgery, particularly cesarean sections.
- Cyclical pain and a palpable mass at the surgical scar are characteristic symptoms.
Observation:
- A 30-year-old female experienced severe cyclical abdominal pain and vomiting, localized to a cesarean scar.
- Abdominal imaging identified a mass within the rectus muscle at the prior surgical site.
Findings:
- Diagnosis of scar endometriosis was confirmed via fine needle aspiration cytology.
- The patient experienced symptom resolution after surgical resection of the affected scar tissue.
Implications:
- This case highlights scar endometriosis as a differential diagnosis for cyclical abdominal pain in women with cesarean scars.
- Surgical excision offers a definitive treatment for symptomatic scar endometriosis.
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