A Case Report of Cesarean Scar Site Endometriosis: Diagnosis and Management | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 24, Volume 81, Issue 5, October 2020, Page 2069-2070 PDF (342.46 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhm.2020.126403 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Medhat Monir K Fadel  1; Mariam Sherif S Zaki2
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| 1Department of Reproductive Health and Family Planning, National Research Institute | ||||
| 2Department of Occupational and Environmental health, Benha University, Qalyubia, Egypt | ||||
| Abstract | ||||
| Endometriosis is a frequent clinical problem in women of reproductive age, which means the presence and proliferation of endometrial glands and stroma outside the uterus, the most common site of endometriosis is in the pelvic cavity, extra pelvic endometriosis as on the surgical scar (as caesarean section, laparoscopic incision, episiotomy, and hysterectomy scars) which is relatively rare, it is clinically presented by chronic pelvic pain, dysmenorrhea, dyspareunia, subfertility, infertility, and poor both maternal & fetal outcomes and even stillbirth. Caesarean section endometriosis is presented with cyclic pain and bleeding from the scar site. Our 33- year case presented with a scar site endometriosis after the third Cesarean section. MRI was done to exclude uterine fistula and a definite diagnosis has been made by histopathology. Management involved different modalities of treatment including medical management, Mirena coil insertion. However, the definite treatment was surgical excision of the endometriotic lesion and reclosure of the skin incision. | ||||
| Keywords | ||||
| Endometriosis; Caesarean section; scar; management | ||||
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