Document Detail

Scar endometriosis at the site of cesarean section.
MedLine Citation:
PMID:  17175473     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: Scar endometriosis is a rare condition. We report a case of scar endometriosis occurring at the site of an old cesarean section scar. CASE REPORT: A 29-year-old multiparous woman complained of painful sensation during menstruation for 2 years that occurred at the site of her cesarean section surgical scar. On examination, there was a firm nodule measuring 2 x 1.5 cm in size at the mid-point of the scar. In view of the possibility of scar endometriosis, the mass was completely excised. Pathologic findings were compatible with scar endometriosis. Postoperatively, danazol was prescribed to prevent recurrence. CONCLUSION: A surgical scar becoming painful and swollen during menstruation is the classic symptom of scar endometriosis. Causes include iatrogenic transplantation of endometrium to the surgical wound. Surgical excision is the main treatment. Postoperative GnRH-agonist or danazol may be prescribed to patients with scar endometriosis.
Dah-Ching Ding; Senzen Hsu
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Taiwanese journal of obstetrics & gynecology     Volume:  45     ISSN:  1875-6263     ISO Abbreviation:  -     Publication Date:  2006 Sep 
Date Detail:
Created Date:  2006-12-18     Completed Date:  2007-01-09     Revised Date:  2007-12-28    
Medline Journal Info:
Nlm Unique ID:  101213819     Medline TA:  Taiwan J Obstet Gynecol     Country:  China    
Other Details:
Languages:  eng     Pagination:  247-9     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Buddhist Tzu Chi General Hospital, Hualien, Taiwan.
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MeSH Terms
Cesarean Section / adverse effects*
Cicatrix / etiology*,  pathology,  surgery
Endometriosis / etiology*,  pathology,  surgery

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