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. 2014:2014:765372.
doi: 10.1155/2014/765372. Epub 2014 Sep 22.

A Surgeon's Perspective of Abdominal Wall Endometriosis at a Caesarean Section Incision: Nine Cases in a Single Institution

Eun Mee Oh  1 , Won-Suk Lee  1 , Jin Mo Kang  1 , Sang Tae Choi  1 , Keon Kuk Kim  1 , Woon Kee Lee  1
Affiliations

A Surgeon's Perspective of Abdominal Wall Endometriosis at a Caesarean Section Incision: Nine Cases in a Single Institution

Eun Mee Oh et al. Surg Res Pract. 2014.

Abstract

Abdominal wall endometriosis in a Caesarean section scar (AEC) is an infrequent type of extrapelvic endometriosis which rarely transforms into a malignant lesion. A painful mass located in the scar of a Caesarean section is a typical sign of AEC. This condition is diagnosed preoperatively using imaging modalities such as computed tomography and ultrasonography, as well as fine-needle aspiration. Although AEC has typical signs, general surgeons often misdiagnose it due to its rarity. Herein, we report our experience of AEC in a single institution.

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Figures

Figure 1
Figure 1
A mass of ~3.5 cm was removed. Grossly, white-yellowish-coloured tissue and brownish tissue were observed inside the lesion. A dark-brown-coloured fluid was found upon incision of the lesion.
Figure 2
Figure 2
Endometrial glands, stroma, and adipose tissue were found within the connective tissue. H&E staining, ×10 magnification.
See this image and copyright information in PMC

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