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Endometriosis arising in a cesarean section scar: A case report
Robert Masereka1, Sonye Magugu Kiyaka2, Franck Katembo Sikakulya3
1Faculty of Clinical Medicine and Dentistry, Department of Surgery, Kampala International University Western Campus, Ishaka, Bushenyi, Uganda; Department of Surgery, Jinja Regional Referral Hospital, Jinja, Uganda.
Introduction And Importance:
Scar endometriosis is an uncommon variant of extra pelvic endometriosis, which develops at the scar site of previous abdominopelvic surgery and is seen in women during their reproductive period.
Case Presentation:
We report a 38-year-old female who presented with a nine-months history of a painful ulcerative mass that developed on a cesarean section scar. The mass was removed by a wide excision and confirmed by histology to be endometriosis.
Clinical Discussion:
Wide surgical resection of ectopic endometriosis is the treatment of choice. It is usually curative and ensures the confirmation of the diagnosis.
Conclusion:
Cesarean section scar endometriosis can undergo malignant transformation. This case highlights the need for early detection and treatment.
