Abstract
Endometriosis is defined as the presence of functioning endometrial tissue outside the uterine cavity. This disease is one of the most common gynecologic disorders in reproductive age women. It generally occurs in pelvic cavity. But extrapelvic location has been defined (such as extremities, central nervous system, lungs, pleurae, liver, umbilicus, pericardium, urinary tract, intestines, and surgical scar tissue). Scar endometriosis is a rare disease and defined as presence of endometriotic lesions on the abdominal (such as cesarean section and hysterectomy) or vaginal (episiotomy) excision line. It is difficult to diagnose due to the extreme variability in presentation. The symptoms are nonspecific, typically involving pain, swelling at the incision site at the time of menstruation. Excision and histopathologic examination are necessary for diagnosis. We present a case series of obstetric scar endometriosis and review of the literature.
Highlights
Endometriosis is defined as finding the functional endometrial layer outside the uterine cavity
Several theories have been defined in etiology of scar endometriosis
The knowledge of the clinical background of the disease is essential for diagnosis of scar endometriosis
Summary
Endometriosis is defined as finding the functional endometrial layer outside the uterine cavity It is one of the most common gynecological disorders in the reproductive age women and its prevalence in the general population varies between 0.7 and 44% [1]. Surgical scar endometriosis is a rare condition. The definite treatment of extrapelvic endometriosis is by surgery and the diagnosis can be made by histopathological examination of the material. The aim of this surgery is prevention of recurrence of lesions. The retrospective evaluation and treatment of scar endometriosis cases with obstetric causes that were prediagnosed with clinical imaging methods and verified histopathologically have been presented in this study
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