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Korean Journal of Obstetrics & Gynecology 2004;47(3):581-584.
Published online March 1, 2004.
A Case of Cesarean Scar Endometriosis.
So Young Kwon, Hong Seok Lee, Du Sik Kong, Geon Ho Lee, In Hyun Kim
Department of Obstetrics and Gynecology, College of Medicine, Pochon CHA University, Seoul, Korea.
Abstract
Extrapelvic endometriosis is a fairly rare phenomenon. The majority of extrapelvic endometriosis involves scar tissue following obstetric or gynecologic procedures. Abdominal wall endometriosis secondary to cesarean section is a very rare condition, being reported in less than 0.5% of patients undergoing cesarean section. It has a distinct presentation and treatment. An abdominal mass with noncyclical symptoms is a common presentation. Imaging techniques are nonspecific and needle biopsy may confirm the diagnosis. Wide excision is the treatment of choice for abdominal wall endometriosis as well as for recurrent lesions. A patient with a history of cesarean section presented with a painful, enlarging mass. The pain was cyclic and aggravated just prior to menstruation. The patient was treated with surgical scar excision pathologically confirmed as endometriosis. We present this case with a brief review of literature.
Key Words: Endometriosis, Scar, Cesarean section


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