Resection and Abdominal Wall Reconstruction for Cesarean Scar Endometriosis
Introduction. Currently, there are few reports describing the use of reconstructive techniques in the treatment of cesarean scar endometriosis (CSE). Here, we report a case of CSE, a rare form of endometriosis caused by scars from obstetric and gynecological surgeries. Case Report. A 50-year-old wom...
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Wiley
2022-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2022/7330013 |
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| author | Kento Takaya Hirokazu Shido Shun Yamazaki |
| author_facet | Kento Takaya Hirokazu Shido Shun Yamazaki |
| author_sort | Kento Takaya |
| collection | DOAJ |
| description | Introduction. Currently, there are few reports describing the use of reconstructive techniques in the treatment of cesarean scar endometriosis (CSE). Here, we report a case of CSE, a rare form of endometriosis caused by scars from obstetric and gynecological surgeries. Case Report. A 50-year-old woman became aware of a painful, deep scar mass in her lower abdomen during her menstrual period 10 years after her second cesarean section. This was diagnosed as CSE after the biopsy. Under general anesthesia, the mass, a portion of the rectus abdominis, and a 1 cm tumor-free margin were resected as a whole, and the abdominal wall was reconstructed with a soft artificial mesh. Results. No obvious recurrence or subjective symptoms were observed postoperatively or reported in the 1-year follow-up period. Discussion. Endometriosis appearing in a cesarean scar is rare; it is chiefly triggered by intraoperative mechanical implantation. In cases of surgical scar masses with a history of gynecological surgery and associated menstrual symptoms, this syndrome should be considered during diagnosis and treatment. |
| format | Article |
| id | doaj-art-019de5cf25b849b595194e3ae17d4134 |
| institution | Kabale University |
| issn | 1687-9635 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-019de5cf25b849b595194e3ae17d41342025-02-03T05:50:17ZengWileyCase Reports in Medicine1687-96352022-01-01202210.1155/2022/7330013Resection and Abdominal Wall Reconstruction for Cesarean Scar EndometriosisKento Takaya0Hirokazu Shido1Shun Yamazaki2Department of Plastic and Reconstructive SurgeryYamato Municipal HospitalYamato Municipal HospitalIntroduction. Currently, there are few reports describing the use of reconstructive techniques in the treatment of cesarean scar endometriosis (CSE). Here, we report a case of CSE, a rare form of endometriosis caused by scars from obstetric and gynecological surgeries. Case Report. A 50-year-old woman became aware of a painful, deep scar mass in her lower abdomen during her menstrual period 10 years after her second cesarean section. This was diagnosed as CSE after the biopsy. Under general anesthesia, the mass, a portion of the rectus abdominis, and a 1 cm tumor-free margin were resected as a whole, and the abdominal wall was reconstructed with a soft artificial mesh. Results. No obvious recurrence or subjective symptoms were observed postoperatively or reported in the 1-year follow-up period. Discussion. Endometriosis appearing in a cesarean scar is rare; it is chiefly triggered by intraoperative mechanical implantation. In cases of surgical scar masses with a history of gynecological surgery and associated menstrual symptoms, this syndrome should be considered during diagnosis and treatment.http://dx.doi.org/10.1155/2022/7330013 |
| spellingShingle | Kento Takaya Hirokazu Shido Shun Yamazaki Resection and Abdominal Wall Reconstruction for Cesarean Scar Endometriosis Case Reports in Medicine |
| title | Resection and Abdominal Wall Reconstruction for Cesarean Scar Endometriosis |
| title_full | Resection and Abdominal Wall Reconstruction for Cesarean Scar Endometriosis |
| title_fullStr | Resection and Abdominal Wall Reconstruction for Cesarean Scar Endometriosis |
| title_full_unstemmed | Resection and Abdominal Wall Reconstruction for Cesarean Scar Endometriosis |
| title_short | Resection and Abdominal Wall Reconstruction for Cesarean Scar Endometriosis |
| title_sort | resection and abdominal wall reconstruction for cesarean scar endometriosis |
| url | http://dx.doi.org/10.1155/2022/7330013 |
| work_keys_str_mv | AT kentotakaya resectionandabdominalwallreconstructionforcesareanscarendometriosis AT hirokazushido resectionandabdominalwallreconstructionforcesareanscarendometriosis AT shunyamazaki resectionandabdominalwallreconstructionforcesareanscarendometriosis |