Scar endometriosis, a tricky diagnosis

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Published: May 1, 2018
Keywords:
Abdominal wall, Caesarian, Endometriosis, Scar

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Nikoletta Rapti
Surgical Department, Argos General Hospital, Argolida, Greece; Department of Anatomy and Surgical Anatomy, Medical School, National and Kapodestrian University of Athens, Athens, Greece
Dionysios Katsaounis
Surgical Department, General Hospital of Nikaia, Piraeus, Greece
Georgios Rallis
Surgical Department, General Hospital of Athens “Elpis”, Athens, Greece
Stella Ioannou
Surgical Department, General Hospital of Nikaia, Piraeus, Greece; Department of Anatomy and Surgical Anatomy, Medical School, National and Kapodestrian University of Athens, Athens, Greece
Dimosthenis Rammos
Department of Anatomy and Surgical Anatomy, Medical School, National and Kapodestrian University of Athens, Athens, Greece
Dimitrios Filippou
Department of Anatomy and Surgical Anatomy, Medical School, National and Kapodestrian University of Athens, Athens, Greece
Panagiotis Skandalakis
Department of Anatomy and Surgical Anatomy, Medical School, National and Kapodestrian University of Athens, Athens, Greece

Abstract





BACKROUND: Abdominal wall endometrioma is a rare condition, which usually develops in surgical scar of a Cesarean section (C-section) or of a hysterectomy. Scar endometriosis is a misdiagnosed condition in general surgery, since it mim- ics other surgical conditions. Diagnosis is mainly based upon a high index of suspicion.


AIM: The purpose of this study is to highlight the characteristics of this rare pathology and assess the diagnostic algo- rithm and therapeutic options.


METHODS: The article is a case series and therefore no specific methods have been applicable.


RESULTS: In the current study, we present a case series of seven cases with abdominal pain on the Pfannenstiel incision, treated in our department during a two years period, between 2014 and 2016, followed by a brief review of the literature.


CONCLUSION: Scar endometriosis may be difficult to diagnose as it is an unfamiliar entity to general surgeons. This con- dition can be confused with other surgical conditions. Imaging methods, such as ultrasound or CT-scan should be used for differential diagnosis. The prevention of scar endometriosis may also be important. Surgical excision is the treatment of choice for scar endometriosis.





Article Details

How to Cite
Nikoletta Rapti, et al. “Scar Endometriosis, a Tricky Diagnosis”. Annali Italiani Di Chirurgia, vol. 89, no. 3, May 2018, pp. 223-8, https://annaliitalianidichirurgia.it/index.php/aic/article/view/1100.
Issue
Vol. 89 No. 3 (2018)
Section
Case Report