Scar endometriosis-report of seven cases

  • Dr Vani Malhotra, Bhugra P, Chauhan M, Nanda S, Malhotra P

Abstract

Background: Endometriosis is the aberrant presence of uterine mucosa in locations outside the uterus. It may be pelvic or extra pelvic.
Case: Retrospective analysis of seven cases of scar endometriosis from the file records of the department of Obstetrics and Gynaecology to study clinical characteristics and management. Five patients (71.42%) had presented after caesarean section, one each (14.2%) following hysterotomy and repair for ruptured uterus.
Conclusion: Endometriosis should be considered when cutaneous swelling is present within surgical scars or where the histology of non-specific abdominal pain relates to the menstrual cycle.

References

1. Steck WD, Helwig EB. Cutaneous endometriosis. Clin Obstet Gynecol.1966; 9:373-83.
2. Mavic JJ. Current concepts in endometriosis: an international review-etiology. J Reprod Med 1977; 19:301-2.
3. Colev B, Casola G. Incisional endometriosis involving the rectus abdominis muscle and subcutaneous tissues: CT appearance. Am J Roentgenol.1993; 160:549-50.
4. Healy JT, Wilkinson NW, Sawyer M. Abdominal wall endometrioma in a laparoscopic trocar tract: A case report. Am Surg. 1995;61:962-3.
5. Patterson GK, Winburn GB. Abdominal wall endometriomas: Report of eight cases. Am Surg. 1999; 65:36-9.
6. Chatterjee SK. Scar endometriosis: A clinicopathological study of 17 cases. Obstet Gynecol. 1980;56:81-4.
7. Singh KK, Lessells AM, Adam DJet al. Presentation of endometriosis to general surgeons: A 10-year experience. Br J Surg. 1995;82:1349-51.
8. Popoff L, Raitcheu R, Andreev V. Endometriosis of the skin. Arch Dermatol. 1962;85:185-7.
9. Vincent LM, Mittelstradet CA. Sonographic demonstration of endometrioma arising in a cesarean section scar. J Ultrasound Med. 1985;4:437-8.
10. Sax HC, Seydel AS, Sickel JZ, Warner ED. Extrapelvic endometriosis: Diagnosis and treatment. Am J Surg. 1996;171:239- 241.
11. Wasfie T, Gomez E, Seon S, Zado B. Abdominal wall endometrioma after cesarean section: a preventable complication. Int Surg. 2002;87: 175-7.
12. Raut A, Matchvel K, Joshi. N. Scar Endometrioma: A case report. The Indian Practitioner. 2015;68:23-26.
Published
2019-07-29
How to Cite
Dr Vani Malhotra, Bhugra P, Chauhan M, Nanda S, Malhotra P. (2019). Scar endometriosis-report of seven cases. The Indian Practitioner, 69(4), 23-26. Retrieved from https://articles.theindianpractitioner.com/index.php/tip/article/view/456