Scar Endometriosis-A Case Series of 8 Cases of this Rare Entity

International Journal of Medical Science

© 2023 by SSRG - IJMS Journal

Volume 10 Issue 6

Year of Publication : 2023

Authors : Mala Raj, Sharanya, S. Roshini

10.14445/23939117/IJMS-V10I6P105

How to Cite?

Mala Raj, Sharanya, S. Roshini, "Scar Endometriosis-A Case Series of 8 Cases of this Rare Entity," SSRG International Journal of Medical Science, vol. 10,  no. 6, pp. 32-35, 2023. Crossref, https://doi.org/10.14445/23939117/IJMS-V10I6P105

Abstract:

Background: Endometriosis affects 5-15% of reproductive-aged women and involves endometrial tissue outside the uterine cavity. Scar endometriosis, an unusual subtype, occurs at surgical incision sites, notably after caesarean section (CS) (incidence, 0.03-1%). Scar endometriosis is a rare but important complication of C-sections. Patients develop cyclic pain and swelling at the abdominal scar months to years after surgery. Accurate diagnosis is often challenging, leading to misdiagnosis of other surgical conditions. Objective: This retrospective analysis examined eight patients treated at a tertiary hospital. Materials and methods: Eight patients with scar endometriosis underwent surgical management at FIRM Hospitals. All patients were informed about the surgical procedure and provided written informed consent. Results: All patients had previous obstetrical and gynaecological surgeries, particularly Lower Segment Caesarean Sections (LSCS). The chief complaints included pain, swelling, and bleeding in the abdominal wall scar area, usually appearing months to years after surgery. The masses were located in various scarring regions. The clinical diagnosis was scar endometriosis, supported by radiological findings. Conclusion: Women who have undergone gynaecological or obstetric surgery and experience recurring painful swelling at their abdominal scar should be highly suspected of having scar endometriosis.

Keywords:

Scar endometriosis, Lower segment caesarean sections, Abdominal scar.

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