Endometriosis in cesarean scars: A rare case report with clinical, imaging, and histopathological insights

Scar endometriosis is a rare form of endometriosis characterized by the presence of endometrial tissue in the abdominal wall following a cesarean delivery. We present a case report of a 38-year-old female with scar endometriosis and provide a comprehensive review of the literature on its clinical ma...

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Main Authors: Shailendra Katwal, Sarad Katuwal, Sushmita Bhandari
Format: Article
Language:English
Published: SAGE Publishing 2023-08-01
Series:SAGE Open Medical Case Reports
Online Access:https://doi.org/10.1177/2050313X231197009
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author Shailendra Katwal
Sarad Katuwal
Sushmita Bhandari
author_facet Shailendra Katwal
Sarad Katuwal
Sushmita Bhandari
author_sort Shailendra Katwal
collection DOAJ
description Scar endometriosis is a rare form of endometriosis characterized by the presence of endometrial tissue in the abdominal wall following a cesarean delivery. We present a case report of a 38-year-old female with scar endometriosis and provide a comprehensive review of the literature on its clinical management. The patient presented with intermittent pain and swelling at the site of her previous cesarean section scar. Imaging studies revealed a nodular lesion with characteristic features of scar endometriosis. Fine needle aspiration cytology confirmed the diagnosis, ruling out malignancy. The patient underwent wide surgical resection of the mass, resulting in the resolution of symptoms and no recurrence during follow-up. Our case highlights the diagnostic challenge of scar endometriosis, which can mimic carcinoma, and emphasizes the importance of a multidisciplinary approach involving clinical evaluation, imaging, and histopathological examination for accurate diagnosis and optimal management of this condition.
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spelling doaj.art-ae668466676a4d859dc96b6af808d6412023-08-29T17:57:20ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2023-08-011110.1177/2050313X231197009Endometriosis in cesarean scars: A rare case report with clinical, imaging, and histopathological insightsShailendra Katwal0Sarad Katuwal1Sushmita Bhandari2Dadeldhura Subregional Hospital, Dadeldhura, NepalMaharajgunj Medical Campus, Institute of Medicine, Tribhuwan University, Kathmandu, NepalFatima Jinnah Medical University, Lahore, PakistanScar endometriosis is a rare form of endometriosis characterized by the presence of endometrial tissue in the abdominal wall following a cesarean delivery. We present a case report of a 38-year-old female with scar endometriosis and provide a comprehensive review of the literature on its clinical management. The patient presented with intermittent pain and swelling at the site of her previous cesarean section scar. Imaging studies revealed a nodular lesion with characteristic features of scar endometriosis. Fine needle aspiration cytology confirmed the diagnosis, ruling out malignancy. The patient underwent wide surgical resection of the mass, resulting in the resolution of symptoms and no recurrence during follow-up. Our case highlights the diagnostic challenge of scar endometriosis, which can mimic carcinoma, and emphasizes the importance of a multidisciplinary approach involving clinical evaluation, imaging, and histopathological examination for accurate diagnosis and optimal management of this condition.https://doi.org/10.1177/2050313X231197009
spellingShingle Shailendra Katwal
Sarad Katuwal
Sushmita Bhandari
Endometriosis in cesarean scars: A rare case report with clinical, imaging, and histopathological insights
SAGE Open Medical Case Reports
title Endometriosis in cesarean scars: A rare case report with clinical, imaging, and histopathological insights
title_full Endometriosis in cesarean scars: A rare case report with clinical, imaging, and histopathological insights
title_fullStr Endometriosis in cesarean scars: A rare case report with clinical, imaging, and histopathological insights
title_full_unstemmed Endometriosis in cesarean scars: A rare case report with clinical, imaging, and histopathological insights
title_short Endometriosis in cesarean scars: A rare case report with clinical, imaging, and histopathological insights
title_sort endometriosis in cesarean scars a rare case report with clinical imaging and histopathological insights
url https://doi.org/10.1177/2050313X231197009
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