A Rare Case of Episiotomy Scar Endometriosis

Jeyaseelan, Shanti; Kwatra, Neha

doi:10.1007/s13224-015-0800-z

Cited by 6 publications

(2 citation statements)

References 5 publications

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“…Scar endometriosis has been seen mostly after obstetrical or gynecological surgeries such as cesarean section, hysterotomy, hysterectomy, episiotomy, and tubal ligations. 1,3 Studies have shown the incidence of scar endometriosis to be estimated around 0.08%. 4 Endometriosis, in surgical scars, is more common in the abdominal skin and subcutaneous tissue compared to muscle and fascia.…”

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Caesarean Scar Endometriosis

Sedhain

Dangal

Karki

et al. 2018

J Nepal Health Res Council

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Endometriosis is a common benign gynecologic disorder defined as the presence of endometrial glands and stroma outside of the normal location. The overall prevalence is 8–15% in women of reproductive age group. Scar endometriosis is a rare disease, and is difficult to diagnose. It is commonly seen following obstetrical and gynecological surgeries. The symptoms are non-specific, typically involving abdominal wall pain at the incision site at the time of menstruation and palpable tender mass in the incision site. The diagnosis is frequently made only after excision of the diseased tissue and its histological analysis. We present here a case of abdominal wall scar endometriosis in a woman who had undergone a caesarean section four years ago. Surgical excision led to the diagnosis of scar endometriosis. The pathogenesis, diagnosis and treatment of this rare condition are discussed.Keywords: Abdominal wall; caesarean section; painful scar; scar endometriosis.

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confidence: 99%

Caesarean Scar Endometriosis

Sedhain

Dangal

Karki

et al. 2018

J Nepal Health Res Council

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“…4 Allen in 1896, described Extra genital endometriosis whereas Scheckele in1923, reported the first case of Perineal endometriosis. 5 Most of the reported cases of perineal endometriosis in Obstetrics, have occurred following episiotomy. Perineal scar endometriosis also called as Episiotomy scar endometriosis, which is extremely rare.…”

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confidence: 99%

An episiotomy scar site endometriosis: a rare case report and review of literature

Thirupathi

Rengaraj

2022

Int J Reprod Contracept Obstet Gynecol

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Endometriosis can be defined as the presence and growth of functioning endometrial tissue (glands and or stroma) outside the endometrium. Occasionally, surgical scars are the sites of endometriotic implantation particularly perineal scars (episiotomy). Perineal scar endometriosis is a very rare condition, its incidence rate was about 0.03-0.15%. Perineal scar endometriosis mainly affects young females at the episiotomy site following a previous vaginal delivery. A 29 years old patient presented with swelling at the site of episiotomy which was associated with pain during menstruation. On examination a palpable mass was revealed without induration at close proximity to episiotomy scar site during menstruation. MRI pelvis is the most commonly used imaging technique for the diagnosis of perineal endometriosis as well as to assess the deeper extent of the lesion. Mass excised and sent for histopathological examination. Wide local excision is the definitive treatment for surgical site endometriosis. Follow up is recommended for recurrence. The rare possibility of malignant transformation, can be excluded by histopathological examination of excised tissue.

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