- Postoperative scar endometriosis
Postoperative scar endometriosis
HEALTH OF WOMAN. 2019.1(137):44–47; doi 10.15574/HW.2019.137.44
Golyanovskiy О. V., Kluzko І. V., Gubar І. A., Kulchytsckyi D. V.
Shupyk National Medical Academy of Postgraduate Education, Kiev
Communal mortgage «Vishgorodska central district lіkarnya»
Postoperative scar endometriosis (PSE) is considered to be a rare form of extragenital endometriosis and some case reports or small case series are published in the literature. Most frequently PSE is diagnosed after cesarean sections although observations of the given pathology after transabdominal gynecological and surgical procedure are also described.
The authors present the case of preoperatively diagnosed and surgically treated PSE three years after cesarean section. The diagnosis was confirmed after morphological research of the removed macropreparation. There was no PSE recurrence in the long-term follow up period. We propose the literature review regarding the etiology, pathogenesis, particularities of the clinical signs, sensitivity and specificity of the radiological methods of diagnosis, as well as the principles of PSE surgical management.
Key words: extragenital endometriosis, endometriosis postoperative scar, cesarean section.
REFERENCES
1. Markham SM, Carpenter SE, Rock JA. (1989). Extrapelvic endometriosis. Obstet Gynecol Clin North Am. 16:193-219.
2. Attaran M, Falcone T, Goldberg J. (2002). Endometriosis still tough to diagnose and treat. Cleve Clin J Med. 69:647. https://doi.org/10.3949/ccjm.69.8.647; PMid:12184473
3. Ozel L et al. (2012, Mar). Abdominal wall endometriosis in the cesarean section surgical scar: a potential diagnostic pitfall. J Obstet Gynaecol Res. 38; 3: 526–30. https://doi.org/10.1111/j.1447-0756.2011.01739.x; PMid:22381104
4. Bergqvist A. (1993). Different types of extragenital endometriosis: a review. Gynecol Endocrinol. 7:207-221. https://doi.org/10.3109/09513599309152504; PMid:8291459
5. Firilas A, Soi A, Max M. (1994). Abdominal incision endometriomas. Am Surg. 60:259-261.
6. Singh KK, Lessells AM, Adam DJ, Jordan C, Miles WF, Macintyre IM, Greig JD. 1995. Presentation of endometriosis to general surgeons: a 10-year experience. Br J Surg. 82:1349-1351. https://doi.org/10.1002/bjs.1800821017; PMid:7489161
7. Wicherek L, Klimek M, Skret-Magierlo J, Czekierdowski A, Banas T, Popiela TJ, Kraczkowski J, Sikora J, Oplawski M, Nowak A, Skret A, Basta A. (2007). The obstetrical history in patients with Pfannenstiel scar endometriomas — an analysis of 81 patients. Gynecol Obstet Invest. 63:107-113. https://doi.org/10.1159/000096083; PMid:17028436
8. Minaglia S, Mishell DR, Ballard CA. (2007). Incisional endometriomas after Cesarean section: a case series. J Reprod Med. 52:630-634.
9. Ozel L, Sagiroglu J, Unal A, Unal E, Gunes P, Baskent E, Aka N, Titiz MI, Tufekci EC. (2012). Abdominal wall endometriosis in the cesarean section surgical scar: a potential diagnostic pitfall. J Obstet Gynecol Res. 38:526-530. https://doi.org/10.1111/j.1447-0756.2011.01739.x; PMid:22381104
10. Olive DL, Schwartz LB. (1993). Endometriosis. N Engl J Med. 328:1759-1769. https://doi.org/10.1056/NEJM199306173282407; PMid:8110213
11. Steck WD, Helwig EB. (1966). Cutaneous endometriosis. Clin Obstet Gynecol. 9:373-383. https://doi.org/10.1097/00003081-196606000-00007
12. Patterson GK, Winburn GB. (1999). Abdominal wall endometriomas: report of eight cases. Am Surg. 65:36-39.
13. Kodandapani S, Pai MV, Mathew M. (2011). Umbilical laparoscopic scar endometriosis. J Hum Reprod Sci. 4:150-152. https://doi.org/10.4103/0974-1208.92291; PMid:22346084 PMCid:PMC3276951
14. Kaunitz A, Di Sant’Agnese PA. (1979). Needle tract endometriosis: an unusual complication of amniocentesis. Obstet Gynecol. 54:753-755.
15. Yackovich FH, Bender GN, Tsuchida AM. (1994). Case report: perianal episiotomy scar endometrioma imaged by CT and sector endoluminal ultrasound. Clin Radiol. 49:578-579. https://doi.org/10.1016/S0009-9260(05)82943-5
16. Cziupka K et al. (2011, Aug). Abdominal wall endometriosis as rare differential diagnosis of a soft-tissue tumor. Zentralbl Chir. 136;4: 394–5. https://doi.org/10.1055/s-0030-1247447; PMid:20617492
17. Nirula R, Greaney GC. (2000). Incisional endometriosis: an underappreciated diagnosis in general surgery. J Am Coll Surg. 190:404-407. https://doi.org/10.1016/S1072-7515(99)00286-0
18. Hensen JH, Van Breda Vriesman AC, Puylaert JB. (2006). Abdominal wall endometriosis: clinical presentation and imaging features with emphasis on sonography. AJR Am J Roentgenol. 186:616-620. https://doi.org/10.2214/AJR.04.1619; PMid:16498086
19. Savelli L, Manuzzi L, Donato ND, Salfi N, Trivella G, Ceccaroni M, Seracchioli R. (2012). Endometriosis of the abdominal wall: ultrasonographic and doppler characteristics. Ultrasound Obstet Gynecol. 39:336-340. https://doi.org/10.1002/uog.10052; PMid:21793086
20. Kinkel K, Frei KA, Balleyguier C, Chapron C. (2006). Diagnosis of endometriosis with imaging: a review. Eur Radiol. 16:285-298. https://doi.org/10.1007/s00330-005-2882-y; PMid:16155722
21. Asch E, Levine D. (2007). Variations in appearance of endometriomas. J Ultrasound Med. 26:993-1002. https://doi.org/10.7863/jum.2007.26.8.993; PMid:17646361
22. Operativnaya ginekologiya. (2013). Pod red. Krasnopolskogo VI, Buyanovoy SN, Schukinoy NA, Popova AA. M, MEDpress-inform 127-141.
