Life‐threatening uterine haemorrhage six weeks after Caesarean section due to uterine scar endometriosis: Case report and review of literature

Sholapurkar, Shashikant L.; Sharp, Nicholas; Hirschowitz, Lynn

doi:10.1111/j.1479-828x.2005.00401.x

Cited by 10 publications

(7 citation statements)

References 5 publications

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“…[ 4 , 11 , 12 ] For uterus scar endometriosis, the time gap is reported as 6 weeks to 9 years in 3 cases. [ 7 , 8 ] In our patient, onset of symptoms started 10 years after caesarean section and 2 years after abdominal myomectomy.…”

Section: Discussionmentioning

confidence: 72%

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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Section: Discussionmentioning

confidence: 72%

Intrauterine endometrial cyst after low uterine incision

Yin

Zhang²,

Xu³

et al. 2018

Medicine

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“…The presence of endometriotic deposits in previous cesarean section scars in hysterectomy specimens is likely to have been under-reported by pathologists. In a retrospective study, analyses of hysterectomy specimens for the endometriosis confined to cesarean scar revealed an incidence of 28% [8].…”

Section: Discussionmentioning

confidence: 99%

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

İşçi¹,

Gönenç²,

Ab³

et al. 2015

Clin. Exp. Obstet. Gynecol.

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Uterine scar endometriosis is an extremely rare entitiy. As the surgical procedures of the uterus increases through time, scar endometriosis may be diagnosed more often in the future. A case of uterine scar endometriosis is presented with complaints of menstruation lasting one day with associated pelvic pain. When a cystic mass in the site of previous surgery is diagnosed, scar endometriosis must be considered.

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“…38Y40 We have seen one such case of endometriosis along the uterine scar, with a normal uterus documented on MRI before cesarean delivery (Fig. 40 One group postulates that wiping the endometrium with sponges and passing sutures through the decidua may be causative factors.…”

Section: Endometriosismentioning

confidence: 97%

The Role of Multimodality Imaging After Cesarean Delivery

Rezvani

Shaaban

Kennedy

2015

Ultrasound Quarterly

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There has been a global increase in the rate of cesarean delivery during the last 30 years. As a result, many women of reproductive age now have uterine scars. Well-recognized obstetric and gynecologic consequences include cesarean scar pregnancy, scar dehiscence or rupture, and scar endometriosis. More recently, abnormal menstrual bleeding, pelvic pain, and secondary infertility have been reported as a consequence of cesarean delivery. This article reviews the range of normal imaging findings after cesarean delivery, as well as the imaging manifestations of complications, both acute and chronic.

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Life‐threatening uterine haemorrhage six weeks after Caesarean section due to uterine scar endometriosis: Case report and review of literature

Cited by 10 publications

References 5 publications

Intrauterine endometrial cyst after low uterine incision

Intrauterine endometrial cyst after low uterine incision

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

The Role of Multimodality Imaging After Cesarean Delivery

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