Abstract
Endometriosis is a chronic gynaecological disorder where presence of functional and morphological endometrial gland present outside the uterine cavity. Cesarean scar endometriosis is an unusual manifestation of extra pelvic endometriosis. Here, we report a case of caesarean scar endometriosis diagnosed after 6 years of cesarean delivery and was treated by surgical wide enbloc excision under spinal anaesthesia. Main aim is to increase awareness of this entity. Keywords: Cesarean scar endometriosis (CSE); Surgical wide En Bloc excision; Sclerotherapy
Highlights
Endometriosis is a condition where the functional and morphological endometrial glands and stromal structures are found outside the uterus
Scar endometriosis an extremely rare site of extra pelvic endometriosis, is presence of endometriosis at or near previous surgery scar site as a painful discrete tumoral mass known as Endometrioma or admixed with native tissue. (1,2) SE usually develops after General surgery and Obstetrics and Gynecological surgeries, most commonly after hysterectomy (1.08-2% cases) cesarean delivery (0.030.04% cases) and rarely after Appendicitis, Tubal ligation, Ectopic pregnancy, Inguinal herniorrhaphy, in laparoscopic trocar tract and needle tract after diagnostic amniocentesis and in perineal episiotomy incision
Patient presented with painful palpable swelling at left angle previous LSCS scar incision since 6 months
Summary
Endometriosis is a condition where the functional and morphological endometrial glands and stromal structures are found outside the uterus. Implants outside pelvis and named as extra pelvic endometriosis. Scar endometriosis an extremely rare site (incidence 0.03-3.5%) of extra pelvic endometriosis, is presence of endometriosis at or near previous surgery scar site as a painful discrete tumoral mass known as Endometrioma or admixed with native tissue. The great variability of symptoms and clinical presentations as well as limited knowledge on disease can lead to delayed treatment, misdiagnosis, unnecessary intervention discomfort to the patient.
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