The clinical characteristics and surgical approach of scar endometriosis: A case series of 14 women

Authors

  • Faik Tatli Department of General Surgery, Faculty of Medicine, Harran University, Sanliurfa, Turkey
  • Orhan Gozeneli Department of General Surgery, Faculty of Medicine, Harran University, Sanliurfa, Turkey
  • Hacer Uyanikoglu Department of Obstetrics and Gynecology, Faculty of Medicine, Harran University, Sanliurfa, Turkey http://orcid.org/0000-0003-0316-4900
  • Ali Uzunkoy Department of General Surgery, Faculty of Medicine, Harran University, Sanliurfa, Turkey
  • Huseyin Cahit Yalcın Department of General Surgery, Faculty of Medicine, Harran University, Sanliurfa, Turkey
  • Abdullah Ozgonul Department of General Surgery, Faculty of Medicine, Harran University, Sanliurfa, Turkey
  • Osman Bardakci Department of General Surgery, Faculty of Medicine, Harran University, Sanliurfa, Turkey
  • Adnan Incebiyik Department of Obstetrics and Gynecology, Faculty of Medicine, Harran University, Sanliurfa, Turkey
  • Muhammet Emin Guldur Department of Pathology, Faculty of Medicine, Harran University, Sanliurfa, Turkey

DOI:

https://doi.org/10.17305/bjbms.2018.2659

Keywords:

Abdominal wall endometriosis, cesarean section, surgery

Abstract

Scar endometriosis, also referred to as abdominal wall endometriosis (AWE), is a rare form of endometriosis that usually develops in the scar after obstetric or gynecological surgeries, including cesarean section (CS). Recently, the occurrence of scar endometriosis has been increasing together with the increase of CS incidence. Scar endometriosis can be clinically misdiagnosed as hernia, lipoma, or hematoma. Here we retrospectively analyzed the clinical aspects of scar endometriosis and surgical approach in 14 patients from a tertiary hospital, who were treated by surgery, between 2012 and 2017. The mean age was 32.71 ± 8.61 years (range: 19–45). Palpable mass and cyclic pain at the scar site were the most common complaints. Twelve patients had previously undergone CS, and two patients had undergone a surgery of ovarian endometrioma. The preoperative diagnosis was determined with ultrasonography (US), magnetic resonance imaging (MRI), or computed tomography (CT). Preoperatively, scar endometriosis was diagnosed in 12/14 patients (85.7%), while 2 patients (14.3%) were diagnosed with inguinal hernia. The treatment was surgical excision in all patients; in addition, mesh repair surgery was performed in 1 patient with recurrent scar endometriosis. Postoperatively, endometriosis was confirmed by histology in all patients. The average size of endometriomas was 24.71 ± 6.67 mm (range: 11–35). No woman had concurrent pelvic endometriosis. In the follow-up period (mean: 9 months) the recurrence of endometriosis was not observed. Scar endometriosis should be considered in all women of reproductive age presenting with cyclic pain and swelling in their abdominal incision sites.

Author Biographies

  • Faik Tatli, Department of General Surgery, Faculty of Medicine, Harran University, Sanliurfa, Turkey
    Department of General Surgery
  • Orhan Gozeneli, Department of General Surgery, Faculty of Medicine, Harran University, Sanliurfa, Turkey
    Department of General Surgery
  • Hacer Uyanikoglu, Department of Obstetrics and Gynecology, Faculty of Medicine, Harran University, Sanliurfa, Turkey
    Department of Obstetrics and Gynecology
  • Ali Uzunkoy, Department of General Surgery, Faculty of Medicine, Harran University, Sanliurfa, Turkey
    Department of General Surgery
  • Huseyin Cahit Yalcın, Department of General Surgery, Faculty of Medicine, Harran University, Sanliurfa, Turkey
    Department of General Surgery
  • Abdullah Ozgonul, Department of General Surgery, Faculty of Medicine, Harran University, Sanliurfa, Turkey
    Department of General Surgery
  • Osman Bardakci, Department of General Surgery, Faculty of Medicine, Harran University, Sanliurfa, Turkey
    Department of General Surgery
  • Adnan Incebiyik, Department of Obstetrics and Gynecology, Faculty of Medicine, Harran University, Sanliurfa, Turkey
    Department of Obstetrics and Gynecology
  • Muhammet Emin Guldur, Department of Pathology, Faculty of Medicine, Harran University, Sanliurfa, Turkey
    Department of Pathology

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The clinical characteristics and surgical approach of scar endometriosis: A case series of 14 women

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01-08-2018

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1.
The clinical characteristics and surgical approach of scar endometriosis: A case series of 14 women. Biomol Biomed [Internet]. 2018 Aug. 1 [cited 2024 Mar. 29];18(3):275-8. Available from: https://www.bjbms.org/ojs/index.php/bjbms/article/view/2659