Gülengül KÖKEN, Figen Kır ŞAHİN, Mehmet Nuri KOŞAR, Önder ŞAHİN, Dursun Ali ŞAHİN

Sezaryen skarında endometriozis olgusu ve literatürün gözden geçirilmesi

Endometriozis endometrial dokunun uterin kavitenin dışında bulunması hali olarak tanımlanmıştır. Sezaryen, histerektomi, apendektomi, laparoskopi sonrası trokar yerinde, amniyosentez, epizyotomi sonrasında skar dokusunda endometriosis saptanabildiği bilinmektedir. Sezaryen sonrası skar yerinde endometriosis gelişme sıklığı %0,03-%0,4 arasında değişmektedir. Olgumuzda sezaryen operasyonundan 7 yıl sonra sezaryen skar yerinde kitle geliştiği saptandı. Geniş lokal eksizyonla çıkarılan kitlenin patolojisi endometriozis olarak belirlendi. Sonuç olarak; sezaryen skarı ile ilişkili bir kitlede siklik ağrıların mevcudiyeti sezaryen skar endometriozisi açısından patognomonik olup kitlenin geniş ekzisyonla çıkarımı uygun tedavi modalitesidir.

A case of endometriosis in ceserıan scar and review of the literature

Endometriosis is the existence of endometrial tissue in the extrauterin cavity. It is well known that endometriotic lesions can be find at cesarean section, hysterectomy, appendectomy, laparascopic trochar insertion scars, after amniosynthesis and episiotomy incision scars. After cesarean section, endometriotic lesions can be seen in at the scar tissue. In our case, a mass appeared at the incision after 7 years of cesarean operation. Large excision was applied. The pathologic report revealed ‘endometriosis'. In conclusion, cyclic painful mass at the cesarean section scar is pathognomonic for endometriotic lesion and large excision is the appropriate treatment.

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