Caesarean Section Scar Endometriosis: a Case Report with Images
CANSAGE ePoster Library. Ngan T. 09/26/19; 275254; eP-121
Dr. Tin Yan Tina Ngan
Dr. Tin Yan Tina Ngan
Login now to access Regular content available to all registered users.

You may also access this content "anytime, anywhere" with the Free MULTILEARNING App for iOS and Android
Abstract
Rate & Comment (0)
Endometriosis is defined as the presence of endometrial glands and endometrial stromal cells outside the endometrial cavity. Although common locations include ovaries, uterosacral ligaments and posterior cul-de-sac, endometriosis implants can also occur at incisional scars resulting from endometriosis surgeries or surgeries with endometrial manipulation. We report a case of caesarean scar endometriosis. Ultrasound images, magnetic resonance imaging (MRI) pictures, pathology photos, as well as histology slides are presented. The patient is a twenty-eight-year-old woman presenting with painful masses on bilateral sides of her Pfannenstiel incision. She has a previous history of three caesarean sections and hysteroscopic sterilization by tubal occlusion. She is known for endometriosis. The masses are more tender and increase in size during menstruation. MRI and ultrasound findings are consistent with abdominal wall endometriosis. The patient was consented for laparotomy and excision of the nodules. Pathology revealed dense fibrous and fibrofatty tissue accompanied by endometrial stromal cells with mononuclear inflammatory cells, confirming the diagnosis of endometriosis. Both nodules were resected and were sliced open in the operating room, revealing multiple endometriosis implants of brownish colour. Although caesarean section scar endometriosis is a rare event, the diagnosis can be made based on clinical symptoms of painful masses that increase in size along the incision during menstruation. Ultrasound and MRI can be performed for further evaluation. Surgical resection is an effective treatment.
    This eLearning portal is powered by:
    This eLearning portal is powered by MULTIEPORTAL
Anonymous User Privacy Preferences

Strictly Necessary Cookies (Always Active)

MULTILEARNING platforms and tools hereinafter referred as “MLG SOFTWARE” are provided to you as pure educational platforms/services requiring cookies to operate. In the case of the MLG SOFTWARE, cookies are essential for the Platform to function properly for the provision of education. If these cookies are disabled, a large subset of the functionality provided by the Platform will either be unavailable or cease to work as expected. The MLG SOFTWARE do not capture non-essential activities such as menu items and listings you click on or pages viewed.


Performance Cookies

Performance cookies are used to analyse how visitors use a website in order to provide a better user experience.


Save Settings