Intrauterine endometriotic cyst at the site of previous cesarean scar; scar endometriosis

İşçi, Herman; Gönenç, Gökçenur; Ab, Yiğiter; Güdücü, Nilgün; Dünder, İlkkan

doi:10.12891/ceog1785.2015

Cited by 7 publications

(2 citation statements)

References 10 publications

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“…The pathophysiology of scar endometriosis may be due to direct implantation of endometrial tissues into the scar tissues during operations performed during pregnancy. 8,[18][19][20][21] Although very rare, gestational trophoblastic neoplasia (GTN), such as molar pregnancy, choriocarcinoma, and atypical placental site nodule, can also arise in the cesarean section scar. 2,3,6 The incidence rate of GTN localized in the cesarean scar was 3.3% in all patients diagnosed with GTN.…”

Section: Discussionmentioning

confidence: 99%

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Recurrent mucinous neoplasm arising in cesarean scar: A case report and review of literature

Gündoğdu

Orhan

Özgül

et al. 2021

Intl J Gynecology & Obste

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Ovarian mucinous tumors are one of the common epithelial tumors in the ovary, but their recurrence is extremely rare. In a 37‐year‐old female patient who had had five operations in 7 years due to recurrent mucinous neoplasms, a mass extending to the umbilicus was recently detected during a routine examination. With this finding the patient underwent cystectomy, total abdominal hysterectomy, and left salpingo‐oophorectomy. Two of the five operations were performed during cesarean delivery. In the recent surgical procedure, two cysts were removed. A 20 cm cyst in the pelvic region was diagnosed as a mucinous cystadenoma. The other cyst located in the myometrium was a mucinous cystadenoma with focal borderline change and arose in the previous cesarean scar. The authors present what is believed to be the first case of recurrent mucinous neoplasm arising within a cesarean scar. A review of the literature concerning the topic is also presented.

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Section: Discussionmentioning

confidence: 99%

“…Compared with abdominal scar endometriosis, uterine scar endometriosis is less common, with few cases reported in the literature. The pathophysiology of scar endometriosis may be due to direct implantation of endometrial tissues into the scar tissues during operations performed during pregnancy 8,18–21 …”

Section: Discussionmentioning

confidence: 99%

Recurrent mucinous neoplasm arising in cesarean scar: A case report and review of literature

Gündoğdu

Orhan

Özgül

et al. 2021

Intl J Gynecology & Obste

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A Rare Case of Cesarean Scar Endometriosis

Paul¹,

Bulusu²,

Radhika³

et al. 2017

Journal of Minimally Invasive Gynecology

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Intrauterine endometrial cyst after low uterine incision

Yin

Zhang²,

Xu³

et al. 2018

Medicine

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Rationale:During the surgical procedure, endometrial cells can be seeded into the wound edge of the uterine wall, developing into scar endometriosis. Due to the extremely low incidence, estimation of its prevalence is still unavailable. Even rarer might be the scar endometriosis in uterine cavity, to our best knowledge, a situation has not been reported yet.Patient concerns:A 37-year-old woman complained of heavier and prolonged menstruation as well as pelvic pain during menses for more than 4 months. An endometrial cyst in diameter of 6 cm in uterine cavity was revealed by transvaginal ultrasound. Her surgical history was significant for 1 caesarean section and 1 abdominal myomectomy through transverse incision of lower uterine segment.Diagnoses:Space-occupying lesions in uterine cavity, moderate anemia and scar uterus.Interventions:The hysteroscopy was performed and a multilocular cyst full of chocolate-like fluid was removed. Pathological examination confirmed endometrial glands in the removed cyst tissue.Outcomes:During the follow-up visits at 1 and 6 months after surgery, the patient denied any special discomfort. Her postoperative transvaginal ultrasound showed an enlarged uterus with no lesion in uterine cavity. To achieve a better surveillance, a 3-year period of follow-up after surgery at a 6-month interval was suggested.Lessons:Intrauterine endometriosis should be considered in patients of pelvic surgery history with pelvic pain, menstrual disorder, and intrauterine cystic mass.

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Intrauterine endometriotic cyst at the site of previous cesarean scar; scar endometriosis

Cited by 7 publications

References 10 publications

Recurrent mucinous neoplasm arising in cesarean scar: A case report and review of literature

Recurrent mucinous neoplasm arising in cesarean scar: A case report and review of literature

A Rare Case of Cesarean Scar Endometriosis

Intrauterine endometrial cyst after low uterine incision

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