Cesarean scar endometriosis: our recent experiences
Authors:
I. Kováč 1; M. Novotný 1; K. Kováčová 2; Z. Hribíková 2; J. Belák 1
Authors place of work:
II. chirurgická klinika Univerzitná nemocnica L. Pasteura, Lekárska fakulta Univerzity Pavla Jozefa Šafárika, Košice
1; Oddelenie patológie, Univerzitná nemocnica L. Pasteura, Košice
2
Published in the journal:
Rozhl. Chir., 2021, roč. 100, č. 1, s. 27-31.
Category:
Case Report
doi:
https://doi.org/10.33699/PIS.2021.100.1.27–31
Summary
Introduction: Endometriosis is defined as the presence of endometrial tissue, endometrial glands or endometrial stroma outside the uterine cavity causing chronic inflammatory response. The prevalence of abdominal wall endometriosis is less than 1%. Cesarean scar endometriosis is the most common type of abdominal wall endometriosis. Chronic lower abdominal pain amplified during menstruation and palpable mass in the area of scar are the main symptoms. Generally, surgical resection with negative resection margins offers the best chance for definitive treatment of abdominal wall endometriosis.
Case report: The authors present two female patients in fertile age with chronic pain in the area of Cesarean scar. The preoperatively assumed endometriosis was histologically confirmed after complete surgical excision.
Conclusion: Abdominal wall endometriosis is rare. However, it is a possible cause of constant lower abdominal pain, impacting quality of life of the patient.
Keywords:
abdominal wall endometriosis − Pfannenstiel incision scar endometriosis − surgical resection
Zdroje
- Ulrich U, Buchweitz O, Greb R, et al. National German Guideline (S2k): Guideline for the diagnosis and treatment of endometriosis: Long version - AWMF Registry No. 015-045. Geburtshilfe Frauenheilkd. 2014;74(12):1104–1118. doi: 10.1055/s-0034-1383187.
- Kováč I, Stebnický M, Svajdler P, et al. Endometrióza hrubého čreva – kazuistika. Rozhl Chir. 2014;93(4):212–215.
- Fanta M, Koliba P, Hrušková H. Endometrióza. Ceska Gynekol. 2012;77(4):314–319.
- Alborzi S, Azimirad A, Azimirad M. Experimental endometriosis: Review of the literature through a century and the Iranian experience. ArchIran Med. 2018;21(11):536−543.
- Brosens I, Puttemans P, Benagiano G. Endometriosis: a life cycle approach? AJOG 2013;2:307−316. doi: 10.1016/j.ajog.2013.03.009.
- Benagiano G, Brosens I, Lippi D. The history of endometriosis. Gynecol Obstet Invest. 2014;78(1):1–9. doi.org/10.1159/000358919.
- Thierry M. Emil Novak (1884–1957) and the Novak curette. Gynecol Surg. 2010;7:201–202. doi.org/10.1007/s10397-010-0567-2.
- Hwang H, Chung YJ, Lee SR. Clinical evaluation and management of endometriosis: guideline for Korean patients from Korean Society of Endometriosis. Obstet Gynecol Sci. 2018;61(5):553–564. doi: 10.5468/ogs.2018.61.5.553.
- Pávek J. Endometrióza močového měchýře jako příčina iatrogenní perforace močového měchýře. Ces Urol. 2019;23(1):51–56.
- Sampson CS, White K. Endometriosis: Anunusual cause of bilateral pneumothoraces. Clin Pract Cases Emerg Med. 2020;4(1):35–37. doi: 10.5811/cpcem.2019.11.45061.
- Raffi L, Suresh R, McCalmont TH, et al. Cutaneous endometriosis. Int J Womens Dermatol. 2019;5(5):384–386. doi: 10.1016/j.ijwd.2019.06.025.
- Kiss I, Pospisilova E, Kolostova K, et al. Circulating endometrial cells in women with spontaneous pneumothorax. Chest 2020;157(2):342–355. doi:10.1016/j.chest.2019.09.008.
- Zhang P, Sun Y, Zhang C, et al. Cesarean scar endometriosis: presentation of 198 cases and literature review. BMC Womens Health 2019;19(1):14. doi: 10.1186/s12905-019-0711-8.
- Carsote M, Terzea DC, Valea A, et al. Abdominal wall endometriosis (a narrative review). Int J Med Sci 2020;17(4):536–542. doi: 10.7150/ijms.38679.
- Pospisilova E, Kiss I, Souckova H, et al. Circulating endometrial cells: A new source of information on endometriosis dynamics. J Clin Med. 2019;8(11):1938. doi:10.3390/jcm8111938.
- Akbarzadeh-Jahromi M, Motavas M, Fazelzadeh A. Recurrent abdominal wall endometriosis at the trocar site of laparoscopy: A rare case. Int J Reprod Biomed. (Yazd) 2018;16(10):653–656.
- Monist M, Lewkowicz D, Jóźwik M, et al. Atypical endometrial hyperplasia arising in a Cesarean section scar: A mechanism of malignant transformation. Case Rep Oncol. 2019;12(1):317–321. doi: 10.1159/000499760.
- Uçar MG, Şanlıkan F, Göçmen A. Surgical treatment of scar endometriosis following Cesarean section, a series of 12 cases. Indian J Surg. 2015;77(2):682–686. doi: 10.1007/s12262-013-0978-1.
- Farland LV, Lorrain S, Missmer SA, et al. Endometriosis and the risk of skin cancer: a prospective cohort study. Cancer Causes Control 2017;28(10):1011–1019. doi: 10.1007/s10552-017-0939-2.
Štítky
Surgery Orthopaedics Trauma surgeryČlánok vyšiel v časopise
Perspectives in Surgery
2021 Číslo 1
- Metamizole at a Glance and in Practice – Effective Non-Opioid Analgesic for All Ages
- Metamizole vs. Tramadol in Postoperative Analgesia
- Spasmolytic Effect of Metamizole
Najčítanejšie v tomto čísle
- Cesarean scar endometriosis: our recent experiences
- Gas embolism after periproctal abscess incision and lavage with hydrogen peroxide − a case report Should the use of hydrogen peroxide in surgery be continued?
- Danger of bacterial translocation for a surgical patient
- Inferior pancreaticoduodenal artery aneurysm rupture as a cause of haemoperitoneum – case report and review of the literature