2021
DOI: 10.1016/j.ijscr.2021.106204
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Case report: Caesarean scar endometriosis – A rare entity

Abstract: Introduction and importance Caesarean scar endometriosis (CSE) is a rare form of endometriosis due to previous surgical scars from obstetrical and gynecological procedures. The incidence of CSE was 0.08% and quite difficult to diagnose. Case presentation A 37-year-old multiparous woman came with intermittent pain in her lower left abdominal region and lump with a bluish color and solid consistency on the left side of the caesarean scar. Ultrasounds findings show a solid… Show more

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Cited by 7 publications
(7 citation statements)
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“…The fact that no previous surgery is necessary for the development of endometriosis of the abdominal wall is confirmed by another published case 13. In contrast, a comparable case to that of the current patient was published by Purbadi et al14 Their patient had left lower abdominal wall pain for 6 years following a second cesarean delivery. This pain had worsened over the year and was mainly related to menstruation.…”
Section: Discussionsupporting
confidence: 61%
“…The fact that no previous surgery is necessary for the development of endometriosis of the abdominal wall is confirmed by another published case 13. In contrast, a comparable case to that of the current patient was published by Purbadi et al14 Their patient had left lower abdominal wall pain for 6 years following a second cesarean delivery. This pain had worsened over the year and was mainly related to menstruation.…”
Section: Discussionsupporting
confidence: 61%
“…CE can also present as bleeding or pain alone, as shown in Table 1 . When the clinical manifestations are atypical, as seen in 50% of cases, CE can be confused with nodular malignant melanoma, metastatic tumors, pyogenic granuloma, keloid, hernia and so on [ [8] , [9] , [10] ]. Effective ancillary tests are necessary for the early diagnosis of CE, including non-invasive and invasive techniques.…”
Section: Discussionmentioning
confidence: 99%
“…The risk of recurrence is 5–9% [ 29 ]; thus, when resecting the mass, a margin of at least 1 cm should also be excised [ 30 ]. Irrigating and flushing of the wound before closing, especially the corners, adipose tissue, and the fascia, is crucial to prevent recurrence [ 31 ]. Surgery in cases of large endometrioma removal may necessitate the usage of propylene mesh to prevent incisional hernias [ 30 , 32 ].…”
Section: Discussionmentioning
confidence: 99%