Cesarean Scar Endometrioma: Case Series

Overview

Journal World J Clin Cases

Publisher Baishideng Publishing Group

Specialty General Medicine

Date 2014 May 29

PMID 24868512

Citations 4

Authors

Cavit Col

Edip Erdal Yilmaz

Affiliations

Soon will be listed here.

Abstract

Aim: To evaluate endometrioma located at cesarean scatrix.

Methods: Medical data of 6 patients who presented to our institution with abdominal wall endometrioma were evaluated retrospectively and reviewed literature in this case series. The diagnostic approaches and treatment is discussed.

Results: All patients had a painful mass located at abdominal scars with history of cesarean section. The ages ranged from 31 to 34 and Doppler ultrasonography (US) detected hypoechoic mass with a mean diameter of 30 mm. Initial diagnosis was endometrioma in 4 and incisional hernia in 2 of 6 patients. Treatment was achieved with surgical excision in 5 patients, and one is followed by hormone suppression therapy with gonadotropin.

Conclusion: Malignant or benign tumors of abdominal wall and incisional hernias should be kept in mind for diagnosis of endometrioma. Imaging methods like doppler US, computed tomography and magnetic resonance imaging should be used for differential diagnosis. Definitive diagnosis can only be made histopathologically. The treatment should be complete surgical excision and take care against intraoperative auto-inoculation of endometrial tissue in order to prevent recurrences.

Citing Articles

[Abdominal wall edometriosis: about two cases].

Hedfi M, Essid N, Trabelsi F, Znaidi H Pan Afr Med J. 2022; 42:54.

PMID: 35949478 PMC: 9307924. DOI: 10.11604/pamj.2022.42.54.32449.

Post-Cesarean Section Abdominal Wall Endometrioma.

Mao A, Rana H, Steffler B, Figarola S Cureus. 2020; 12(8):e10088.

PMID: 33005511 PMC: 7522165. DOI: 10.7759/cureus.10088.

[Parietal-scar endometriosis after cesarean section: a rare entity].

El Fahssi M, Lomdo M, Bounaim A, Ait Ali A, Sair K Pan Afr Med J. 2016; 24:79.

PMID: 27642418 PMC: 5012785. DOI: 10.11604/pamj.2016.24.79.8680.

A rare case of endometrioma in a bitch.

Paiva B, Silva J, Ocarino N, Oliveira C, Assis W, Serakides R Acta Vet Scand. 2015; 57:31.

PMID: 26084327 PMC: 4475315. DOI: 10.1186/s13028-015-0123-1.

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