Scar endometriosis following cesarean section

Abstract

OBJECTIVE: The purpose of our study was to evaluate clinical features of abdominal wall endometrio- sis following cesarean section. STUDY DESIGN: Our institution's database over a 5-year period was performed, yielding 9 surgically proven cases of abdominal wall endometriosis that were retrospectively studied. All patients had under- gone sonography. The clinical data were analyzed. RESULTS: All patients had a history of at least one prior cesarean section. None of them had en- dometriosis history. All presented with focal pain near the surgical scar, which was cyclic in seven pa- tients. Three patients presented with a palpable mass near the scar. Sonography detected all lesions within the abdominal wall, with a mean diameter of 30 mm. All lesions were vascular, and solid, with some cystic changes. CONCLUSION: Abdominal wall endometriosis frequently presents with cyclical pain during menstrua- tion which is localised to a palpable mass in the abdominal wall especially in those who have had pre- vious cesarean section. Complete surgical excision is curative.