Abdominal Scar endometriosis: report of three cases with cytohistocorroboration
Keywords:
Endometriosis, Surgical Scar, Abdominal Wall
Abstract
Endometriosis of the abdominal wall scar is rare, reported incidence being 1.08% for mid-trimester abortion and 0.03–0.4% following caesarean sections. Incisional endometriosis is a relatively rare entity and is often misdiagnosed as stitch granuloma, abscess, incisional hernia, lipoma, hematoma, desmoid tumor, sarcoma, lymphoma, or primary and metastatic cancer.We report three cases of abdominal scar endometriosis; two cases occurring in the surgical scar of previous caesarean incision and one case occurring after second trimester hysterotomy. The present study describes the physical signs and symptoms and cytological features of abdominal scar endometriosis. A high index of suspicion is needed for early diagnosis of this entity in a woman presenting with post operative abdominal lump. DOI: 10.21276/APALM.2017.1029References
1. Agarwal A, Fong YF. Cutaneous endometriosis. Singapore Med J 2008;49:704-9.
2. Horton JD, Dezee KJ, Ahnfeldt EP, Wagner M. Abdominal wall endometriosis: a surgeon’s perspective and review of 445 cases. Am J Surg 2008;196:207-12.
3. Sengul I, Sengul D, Kahyaoglu S, Kahyaoglu I. Incisional endometriosis: A report of 3 cases. Can J Surg 2009;52:444-5.
4. Park SB, Kim JK, Cho KS. Sonography of endometriosis in infrequent sites. J Clin Ultrasound 2008;36:91‑7.
5. Chambers DC. Endometriosis of the abdominal surgical scar following hysterotomy. J Nat Med Assoc 1975;67:465-7.
6. Gajjar KB, Mahendru AA, Khaled MA. Caesarean scar endometriosis presenting as an acute abdomen: a case report and review of literature. Arch Gynecol Obstet 2008;277:167-9.
7. Goel P, Sood SS, R, Dalal A. Cesarean scar endometriosis - Report of two cases. Indian J Med Sci 2005; 59:495-498.
8. Medeiros FD, Cavalcante DI, Medeiros MA, Eleuterio J. Fine‑Needle aspiration cytology of scar endometriosis: Study of seven cases and literature review. Diagn Cytopathol 2011;39:18‑21.
9. Aydin O. Scar endometriosis. A gynaecologic pathology often presented to the general surgeon rather than the gynaecologist: Report of two cases. Langenbecks Arch Surg 2007;392:105‑9.
10. Wolf Y, Haddad R, Werbin N, Skornick Y, Kaplan O. Endometriosis in abdominal scars: A diagnostic pitfall. Am Surg 1996;62:1042-4.
11. Pathan SK, Kapila K, Haji BE, Mallik MK, Al-Ansary TA, George SS, et al. Cytomorphological spectrum of scar endometriosis: A study of eight cases. Cytopathology 2005;16:94-9.
12. Catalina-Fernández I, López-Presa D, Sáenz-Santamaria J. Fine needle aspiration cytology in cutaneous and subcutaneous endometriosis. Acta Cytol 2007;51:380-4.
13. Gonzalez-Campora R. cytoarchitectural findings in the diagnosis of primary soft tissue tumors. Acta Cytol 2001;45:115-144.
14. Wolf G, Singh K. Cesarean scar endometriosis: A review. Obstet Gynecol Surv 1989;44:89-95.
15. Schoelefield HJ, Sajjad Y, Morgan PR. Cutaneous endometriosis and its association with caesarean section and gynaecological procedures. J Obstet Gynaecol 2002;22:553-4.
16. Wasfie T, Gomez E, Seon S, Zado B. Abdominal wall endometrioma after cesarean section: A preventable complication. Int Surg 2002;87:175-7.
2. Horton JD, Dezee KJ, Ahnfeldt EP, Wagner M. Abdominal wall endometriosis: a surgeon’s perspective and review of 445 cases. Am J Surg 2008;196:207-12.
3. Sengul I, Sengul D, Kahyaoglu S, Kahyaoglu I. Incisional endometriosis: A report of 3 cases. Can J Surg 2009;52:444-5.
4. Park SB, Kim JK, Cho KS. Sonography of endometriosis in infrequent sites. J Clin Ultrasound 2008;36:91‑7.
5. Chambers DC. Endometriosis of the abdominal surgical scar following hysterotomy. J Nat Med Assoc 1975;67:465-7.
6. Gajjar KB, Mahendru AA, Khaled MA. Caesarean scar endometriosis presenting as an acute abdomen: a case report and review of literature. Arch Gynecol Obstet 2008;277:167-9.
7. Goel P, Sood SS, R, Dalal A. Cesarean scar endometriosis - Report of two cases. Indian J Med Sci 2005; 59:495-498.
8. Medeiros FD, Cavalcante DI, Medeiros MA, Eleuterio J. Fine‑Needle aspiration cytology of scar endometriosis: Study of seven cases and literature review. Diagn Cytopathol 2011;39:18‑21.
9. Aydin O. Scar endometriosis. A gynaecologic pathology often presented to the general surgeon rather than the gynaecologist: Report of two cases. Langenbecks Arch Surg 2007;392:105‑9.
10. Wolf Y, Haddad R, Werbin N, Skornick Y, Kaplan O. Endometriosis in abdominal scars: A diagnostic pitfall. Am Surg 1996;62:1042-4.
11. Pathan SK, Kapila K, Haji BE, Mallik MK, Al-Ansary TA, George SS, et al. Cytomorphological spectrum of scar endometriosis: A study of eight cases. Cytopathology 2005;16:94-9.
12. Catalina-Fernández I, López-Presa D, Sáenz-Santamaria J. Fine needle aspiration cytology in cutaneous and subcutaneous endometriosis. Acta Cytol 2007;51:380-4.
13. Gonzalez-Campora R. cytoarchitectural findings in the diagnosis of primary soft tissue tumors. Acta Cytol 2001;45:115-144.
14. Wolf G, Singh K. Cesarean scar endometriosis: A review. Obstet Gynecol Surv 1989;44:89-95.
15. Schoelefield HJ, Sajjad Y, Morgan PR. Cutaneous endometriosis and its association with caesarean section and gynaecological procedures. J Obstet Gynaecol 2002;22:553-4.
16. Wasfie T, Gomez E, Seon S, Zado B. Abdominal wall endometrioma after cesarean section: A preventable complication. Int Surg 2002;87:175-7.
Published
2017-02-23
Issue
Section
Case Report
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access at http://opcit.eprints.org/oacitation-biblio.html).
