Abdominal scar endometriosis after Caesarean section: a rare entity

Sinha, Ruchi; Kumar, Mohan; Matah, Manjari

doi:10.4066/amj.2011.486

Cited by 7 publications

(13 citation statements)

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“…2,12,13 In these patients, the rate of occurrence of pelvic endometriosis is similar to that of other women, and is not regarded as a risk factor for the disease. 14 The incidence of abdominal wall endometriosis (AWE) is rare. The disorder occurs in 0.03-3.5% of cases, and some studies have reported a rate of up to 12%.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Cases of Abdominal Wall Endometriosis at Universidade Estadual de Campinas in a period of 10 Years

Yela

Trigo

Benetti‐Pinto

2017

Rev Bras Ginecol Obstet

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Keywords► abdominal wall endometriosis ► pelvic pain ► recurrence ► cesarean section scar AbstractPurpose To determine the clinical and epidemiological characteristics of abdominal wall endometriosis (AWE), as well as the rate and recurrence factors for the disease. Methods A retrospective study of 52 women with AWE was performed at Universidade Estadual de Campinas from 2004 to 2014. Of the 231 surgeries performed for the diagnosis of endometriosis, 52 women were found to have abdominal wall endometriosis (AWE). The frequencies, means and standard deviations of the clinical characteristics of these women were calculated, as well as the recurrence rate of AWE. To determine the risk factors for disease recurrence, Fisher's exact test was used. Results The mean age of the patients was 30.71 AE 5.91 years. The main clinical manifestations were pain (98%) and sensation of a mass (36.5%). We observed that 94% of these women had undergone at least 1 cesarean section, and 73% had used medication for the postoperative control of endometriosis. The lesion was most commonly located in the cesarean section scar (65%). The recurrence rate of the disease was of 26.9%. All 14 women who had relapsed had surgical margins compromised in the previous surgery. There was no correlation between recurrent AWE and a previous cesarean section (p ¼ 0.18), previous laparotomy (p ¼ 0.11), previous laparoscopy (p ¼ 0.12) and postoperative hormone therapy (p ¼ 0.51). Conclusion Women with previous cesarean sections with local pain or lumps should be investigated for AWE. The recurrence of AWE is high, especially when the first surgery is not appropriate and leaves compromised surgical margins. ResumoObjetivos Determinar as características clínicas e epidemiológicas da endometriose de parede, bem como sua taxa de recorrência e os fatores que levam a ela. Métodos Estudo retrospectivo, em que se avaliaram 52 mulheres com endometriose de parede na Universidade Estadual de Campinas no período de 2004 a 2014. Entre as

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Section: Introductionmentioning

confidence: 99%

Evaluation of Cases of Abdominal Wall Endometriosis at Universidade Estadual de Campinas in a period of 10 Years

Yela

Trigo

Benetti‐Pinto

2017

Rev Bras Ginecol Obstet

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“…Ultrasonography, computed tomography (CT), Magnetic resonance imaging (MRI) of the abdomen and pelvis are important to define not only the size of the lesion, but also the degree of involvement of the abdominal wall. MRI's sensitivity for the diagno-VOLUME 17 ISSUE 1, JANUARY-MARCH 2018 Ververidou et al sis of abdominal wall endometriosis is reported up to 71% and its specificity as 82%; it has been suggested that MRI seems to be the best method in preoperative diagnosis as it can be used to evaluate pelvic and extraperitoneal disease [4][5][6] . Fine-needle aspiration (FNA) cytology is generally inconclusive, although it may be of some value in planning surgical approach for the management of cases of scar endometriomas 5. Finally, laparoscopy is the gold standard for evaluating and diagnosing pelvic and peritoneal endometriotic implantations 7 .…”

Section: Discussionmentioning

confidence: 99%

A case report of caesarean scar endometriosis

Tingi¹

2018

HJOG

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Although it is uncommon, extrapelvic endometriosis can form a discrete mass known as an abdominal wall endometrioma. The incidence of abdominal wall endometriomas has been estimated to be 0.03% to 0.15% of all cases of endometriosis. We report a case of scar endometriosis in Pfannesteil scar in a 31 year old woman, who presented six years following an emergency Caesarean Section, complaining of some lumps on her incision scar. The patient underwent laparotomy followed by the excision of five endometriotic nodules.

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“…9 The incidence of scar endometriosis following hysterotomy is high because the early decidual cell have more pleuripotential capabilities. 10 Elective caesarean section performed before the onset of labor doubles the risk of scar endometriosis. 11 The condition is caused by direct inoculation of endometrial cells into abdominal fascia or subcutaneous tissue.…”

Section: Discussionmentioning

confidence: 99%