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Case Reports
. 2023 Dec 18;44(3):121-126.
doi: 10.2478/prilozi-2023-0055. Print 2023 Dec 1.

Abdominal Wall Endometriosis at the Cesarean Section Scar

Meral Rexhepi  1   2 , Learta Veliu Asani  3   2 , Luljeta Mulaki  1   2 , Kazimir Koprivnjak  1 , Majlinda Azemi  1
Affiliations
Free article
Case Reports

Abdominal Wall Endometriosis at the Cesarean Section Scar

Meral Rexhepi et al. Pril (Makedon Akad Nauk Umet Odd Med Nauki). .
Free article

Abstract

Abdominal wall endometriosis is atypical localization of the extra-pelvic endometriosis with non-specific symptoms and is difficult for diagnosis. Cesarean scar endometriosis (CSE) is the most common type of abdominal wall endometriosis, which usually develops after obstetric operations. We report a case of a 33-year-old woman who had two previous cesarean sections presented with a mass in the subcutaneous tissue of the abdominal wall, approximately 4 cm superior to the Pfannenstiel incision, 5 years after her second lower segment caesarean section. The classic clinical presentation, imaging findings on ultrasonography and computed tomography are analyzed. Treatment with local surgical excision of the mass is discussed. The diagnosis was confirmed with histopathological analysis of the surgical sample. When it comes to the limited painful lesion in the subcutaneous tissue at the cesarean scar, with a pain intensifying during menstruation, the physician should consider cesarean scar endometriosis in women of reproductive age with a history of cesarean section.

Keywords: Cesarean section scar; extrapelvic endometriosis; subcutaneous painful nodule; surgical scar.

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References

    1. Purbadi S, Purwoto G, Winarto H, Nuryanto KH, Scovani L, Sotarduga GE. Case report: Caesarean scar endometriosis - A rare entity. Int J Surg Case Rep. 2021 Aug;85:106204. doi: 10.1016/j.ijscr.2021.106204. PMID: 34325300; PMCID: PMC8329506.
    1. Bartłomiej B, Małgorzata S, Karolina F, Anna S. Caesarean Scar Endometriosis May Require Abdominoplasty. Clin Med Insights Case Rep. 2021 Jun 25;14:11795476211027666. doi: 10.1177/11795476211027666. PMID: 34248360; PMCID: PMC8236782.
    1. Doroftei B, Armeanu T, Maftei R, Ilie OD, Dabuleanu AM, Condac C. Abdominal Wall Endometriosis: Two Case Reports and Literature Review. Medicina (Kaunas). 2020 Dec 21;56(12):727. doi: 10.3390/medici-na56120727. PMID: 33371515; PMCID: PMC7767517.
    1. Paramythiotis D, Karlafti E, Tsomidis I, Iraklis G, Malliou P, Karakatsanis A, Antonios M. Abdominal wall endometriosis: a case report. Pan Afr Med J. 2022 Mar 10;41:193. doi: 10.11604/pamj.2022.41.193.33536. PMID: 35685105; PMCID: PMC9146603.
    1. Nepali R, Upadhyaya Kafle S, Pradhan T, Dhamala JN. Scar Endometriosis: A Rare Cause of Abdominal Pain. Dermatopathology (Basel). 2022 May 5;9(2):158-163. doi: 10.3390/dermatopathology9020020. PMID: 35645231; PMCID: PMC9149924.

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