OLGU SUNUMU: SKAR DOKUSUNDA GELİŞEN ENDOMETRİOSİZ OLGUSUNUN DEĞERLENDİRİLMESİ

Anahtar Kelimeler:

Endometriosis, Endometriosis, Cesarean section, Immunohistochemistry

CASE REPORT: EVALUATION OF A CASE OF ENDOMETRIOSIS DEVELOPED IN SCAR TISSUE

Endometriosis is the ectopic location of the endometrial stroma and glands outside the uterine cavity. Skin endometriosis is usually seen after cesarean section. Patients usually have pain, swelling and sometimes bleeding at the scar site associated with menstruation. The definitive diagnosis in these patients is surgical excision. In this case, a painful growing mass was detected 5 cm from the incision site of the patient who applied with the complaint of swelling and pain in the incision area 2 years after the cesarean section. He was hospitalized with a preliminary diagnosis of endometriosis with ultrasonography and magnetic resonance imaging findings. The mass was totally excised and sent to pathology. The diagnosis of endometriosis was confirmed in the pathological examination. Endometriosis should not be ignored in the differential diagnosis of anterior abdominal wall masses in female patients.

Keywords:

Endometriosis, Cesarean section, Immunohistochemistry,

PDF

___

Adamson, G. D., & Pasta, D. J. (2010). Endometriosis fertility index: the new, validated endometriosis staging system. Fertility and sterility, 94(5), 1609-1615. https://doi.org/ 10.1016/j.fertnstert.2009.09.035
Sidiropoulou, Z., Sousa, A. C., Gameiro, P., & Madureira, R. (2009). Spontaneous abdominal wall endometriosis, a case report and a literature review. Journal of Clinical and Diagnostic Research [serial online]. https://doi.org/ 10.1016/j.ijscr.2020.12.016
Akdemir, A., Akman, L., Yavuzsen, H. T., & Zekioglu, O. (2014). Clinical features of patients with endometriosis on the cesarean scar. The Kaohsiung Journal of Medical Sciences, 30(10), 541-543. https://doi.org/ 10.4274/tjod.90922
Demiral, G., Aksoy, F., Ozcelik, A., Saban, B., Kusak, M., Ekinci, O., & ERENGUL, C. (2011). Cesarean scar endometriosis: presentation of eleven clinical cases and review of the literature. J Turk Soc Obstet Gynecol, 8(3), 209-213. https://doi.org/ 10.1186/s12905-019-0711-8
Douglas, C., & Rotimi, O. (2004). Extragenital endometriosis--a clinicopathological review of a Glasgow hospital experience with case illustrations. Journal of Obstetrics and Gynaecology, 24(7), 804-808. https://doi.org/ 10.1080/01443610400009568
Elabsi, M., Lahlou, M. K., Rouas, L., Essadel, H., Benamer, S., Mohammadine, A., ... & Belmahi, A. (2002, January). Cicatrix endometriosis of the abdominal wall. In Annales de Chirurgie (Vol. 127, No. 1, pp. 65-67). https://doi.org/ 10.1080/01443610400009568
Gupta, P., & Gupta, S. (2014). Scar Endometriosis: Case Report with Literature Review. Nepal Journal of Obstetrics and Gynaecology, 9(2), 55-57. https://doi.org/10.1177/2284026518783663
Medeiros, F. D. C., Cavalcante, D. I. M., Medeiros, M. A. D. S., & Eleuterio Jr, J. (2011). Fine‐needle aspiration cytology of scar endometriosis: Study of seven cases and literature review. Diagnostic cytopathology, 39(1), 18-21. https://doi.org/ 10.1002/dc.21319
Padmanabhan, L. D., Mhaskar, R., & Mhaskar, A. (2003). Scar endometriosis. J Obstet Gynaecol India, 53(1), 59-61. https://doi.org/ 10.4274/tjod.90922
Toullalan, O., Baqué, P., Benchimol, D., Bernard, J. L., Rahili, A., Gillet, J. Y., & Bourgeon, A. (2000, November). Endometriosis of the rectus abdominis muscles. In Annales de chirurgie (Vol. 125, No. 9, pp. 880-883). https://doi.org/ 10.1093/jscr/rjaa360