Abstract
Endometriosis is a common benign gynecologic disorder defined as the presence of endometrial glands and stroma outside of the normal location. The overall prevalence is 8-15% in women of reproductive age group. Scar endometriosis is a rare disease, and is difficult to diagnose. It is commonly seen following obstetrical and gynecological surgeries. The symptoms are non-specific, typically involving abdominal wall pain at the incision site at the time of menstruation and palpable tender mass in the incision site. The diagnosis is frequently made only after excision of the diseased tissue and its histological analysis. We present here a case of abdominal wall scar endometriosis in a woman who had undergone a caesarean section four years ago. Surgical excision led to the diagnosis of scar endometriosis. The pathogenesis, diagnosis and treatment of this rare condition are discussed.
Highlights
Endometriosis is defined as presence of functional endometrial tissue in any site outside the uterus
Endometriosis in laparotomy scars most frequently occurs after operations in which the uterus has been opened
Studies have shown the incidence of scar endometriosis to be estimated around 0.08%
Summary
Nesuma Sedhain,[1] Ganesh Dangal,[1] Aruna Karki,[1] Hema K Pradhan,[1] Ranjana Shrestha,[1] Kabin Bhattachan,[1] Rekha Poudel,[1] Nishma Bajracharya1 1Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Kathmandu Nepal
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