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. 2017;90(4):411-415.
doi: 10.15386/cjmed-743. Epub 2017 Oct 20.

Surgical scar endometriosis: a series of 14 patients and brief review of literature

Andrei Mihai Malutan  1 , Ioan Simon  2 , Razvan Ciortea  1 , Radu Florin Mocan-Hognogi  1 , Marina Dudea  1 , Dan Mihu  1
Affiliations

Surgical scar endometriosis: a series of 14 patients and brief review of literature

Andrei Mihai Malutan et al. Clujul Med. 2017.

Abstract

Background and aims: Endometriosis is a commonly encountered disorder in women of reproductive age, consisting of the presence of active ectopic endometrial tissue outside the endometrial cavity. Surgical scar endometriosis is a rare condition representing about 2% of all endometriosis cases. The purpose of this study was to assess the main characteristics, diagnostic tools and therapeutic options in abdominal wall endometriosis (AWE).

Methods: We have reviewed a series of fourteen cases with histopathological confirmation of AWE that were managed in our institution.

Results: The main characteristic of AWE were emphasized, showing that 78.57% of the patients had at least one previous caesarian section and that in only 57.14% of all cases an accurate diagnosis of AWE was established preoperatively.

Conclusion: A direct relationship between gynecological and obstetrical surgery and AWE is well established and as the caesarian section rates increase constantly, the awareness regarding AWE should also be increased.

Keywords: abdominal wall; caesarian section; endometriosis; surgical scar.

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Figures

Figure 1
Figure 1
Abdominal wall endometriosis after caesarian section: a) Scar endometriosis in the region of caesarean section; b)Tissue removed after excision; c, d) Histological appearance of endometriosis.
Figure 2
Figure 2
Abdominal wall endometriosis with a palpable mass: a) Caesarian section scar showing a plalpable mass; b, c) Tissue removed after excision.
See this image and copyright information in PMC

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