Post-Cesarean scar endometriosis
Open accessAbstract
OBJECTIVE: Endometriosis is seen in women during their reproductive period, where stromal tissue and functional endometrial glands of the uterus are observed outside the uterine cavity. In this study, we aimed to identify the clinical characteristics of our patients who underwent surgery with scar endometriosis and to discuss the surgical results in light of the literature. MATERIALS AND METHODS: A total of 24 patients who underwent surgery and diagnosed as having endometriosis as the result of a pathologic examination were retrospectively evaluated. RESULTS: The mean age of the patients was 31 years. Thirteen presented to general surgery and 11 presented to gynecology outpatient clinics. The pain was cyclical in 19 patients. There was history of cesarean section in 9 patients, twice in 12, and 3 times in three patients. The mean diameter was 39.1 mm on ultrasound, and 37.5 mm on magnetic resonance imaging. Endometriosis was on the left side of the incisions in 13, whereas it was on the right in 11. The mean weight of the lesions was 61.6 grams. CONCLUSION: The occurrence of endometriosis is supported by the iatrogenic implantation theory. In the event of a mass in the abdominal wall, previous obstetric and gynecologic operations and a history of a painful mass during menstruation periods must be questioned. In the treatment of scar endometriosis, excision is required by obtaining secure margins. If diagnosis can be established preoperatively, unnecessary surgeries can prevented.
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The typical complaint of abdominal wall endometriosis is cyclic menstrual pain and a palpable mass.
“The typical complaint of abdominal wall endometriosis is cyclic menstrual pain and a palpable mass [36].”
From Malignancy in Abdominal Wall Endometriosis: Is There a Way to Avoid It? A Systematic Review (2024) · cites this paper as [36]
The estimated incidence of cesarean scar endometriosis is 0.03-0.4%.
“Cesarean scar endometriosis is the most common abdominal wall endometriosis, with an estimated incidence of 0.03–0.4% [4,5,6,7,8].”
From Scar Endometriosis: A Rare Cause of Abdominal Pain (2022) · cites this paper as [5]
Cesarean scar endometriosis is the most common abdominal wall endometriosis.
“Cesarean scar endometriosis is the most common abdominal wall endometriosis, with an estimated incidence of 0.03–0.4% [4,5,6,7,8].”
From Scar Endometriosis: A Rare Cause of Abdominal Pain (2022) · cites this paper as [5]
Some studies raise the hypothesis of post-cesarean scar endometriosis.
“with some of them raising the hypothesis of post-cesarean scar endometriosis [19].”
From Challenges in Diagnosis and Prevention of Iatrogenic Endometriosis as a Long-Term Surgical Complication after C-Section (2022) · cites this paper as [19]
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- Authors
- Yıldırım, D., Tatar, C., Doğan, O., Hut, A., Dönmez, T., Akıncı, M., Toptaş, M., & Bayık, R. N.
- Affiliations
- Şişli Etfal Eğitim ve Araştırma Hastanesi (TR)
- Haseki Eğitim ve Araştırma Hastanesi (TR)
- Bahçeşehir University (TR)
- Corresponding author
- Doğan, Ozan
- ORCID
- Venue
- Journal of Turkish Society of Obstetric and Gynecology
- Publisher
- Galenos Yayinevi
- Published
- 2018-03-01
- Volume
- 15
- Issue
- 1
- Pages
- 33-38
- ISSN
- 1307-699X (ISSN-L)
- 2149-9330
- PMC
- PMC5894534
- OpenAlex
- W2780730768
- Cited by
- 39
- References
- 22
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 5 · 2023: 7 · 2022: 9 · 2021: 5 · 2020: 5 · 2019: 1
- FWCI
- 1.91
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Locations
- Journal of Turkish Society of Obstetric and Gynecology (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Obstetrics and Gynecology › Gynecological conditions and treatments
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ectopic Pregnancy Diagnosis and Management
- Keywords
- iatrogenic endometriosis, cesarean section, abdominal wall endometriosis, cyclical pain, surgical excision, surgical margins, preoperative diagnosis
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