Caesarean scar endometriosis presenting as an acute abdomen: a case report and review of literature

Case Report

DOI: 10.1007/s00404-007-0431-4

Cite this article as:
Gajjar, K.B., Mahendru, A.A. & Khaled, M.A. Arch Gynecol Obstet (2008) 277: 167. doi:10.1007/s00404-007-0431-4

Abstract

Objective

To report a case of Caesarean scar endometriosis presenting as acute abdomen and a review of literature.

Design

Case report and literature review.

Patient

A 27-year-old woman presented in Accident and Emergency Department with pain and lump near left edge of pfannenstiel incision scar.

Intervention

After initial investigations the patient underwent examination under anesthesia.

Main outcome measure

Excision of a tumour-like mass adherent to the skin and the surrounding subcutaneous tissue. The mass was dissected free from the surrounding fat tissue and excised with clear margins.

Result

Histology of the mass confirmed endometriosis in tumour and showed a 2 cm fibrotic nodule within.

Conclusion

In light of increasing rate of caesarean section, it is important to emphasize the early diagnosis as well as optimum management of scar endometrioma. Many recommendations have been given to modify practices at caesarean section to prevent transplantation of decidual endometrial tissue in the abdominal scar but without any published randomised trials.

Keywords

Caesarean sectionScarEndometriosisSurgeryAcute abdomen

Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  1. 1.Luton and Dunstable HospitalLutonUK
  2. 2.The Queen Elizabeth HospitalNorfolkUK
  3. 3.Colchester General HospitalColchesterUK