January 2018 Vol. 6 No.1

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Case Report

Abdominal wall endometriosis in the cesarean section surgical scar, a rare entity of extrapelvic endometriosis

Ioannis K. Thanasas^* and Ioannis Ikonomou

Department of Obstetrics and Gynecology of General Hospital in Trikala, Trikala, Greece

*Corresponding Author’s E-mail: thanasasg@hotmail.com
Tel.: 2431029103 / 6944766469

Accepted January 24, 2018

Abstract

The abdominal wall is the most common position locating endometriosis. The presentation of the event concerning the occurrence of endometriosis in scar of laparotomy after cesarean section. A patient, four years after cesarean section performed with Pfannestiel, came to our outpatient clinic with abdominal pain primarily located in the left end of the surgical scar. Based on history and clinical findings was the suspected endometriosis of the abdominal wall and decided surgical exploration of the disease. Intraoperatively was found hard clumps, a surface of which was solid adherent to the fascia of the abdominal muscles without good infiltration of the muscular wall. Histological examination of surgical preparation confirmed diagnosis of endometriosis in the abdominal wall with fresh bleeding and old data. In this work, after the description of the incident by the systematic arrangement and processing of modern references attempted a brief review of this rare localization of the disease, regarding the pathogenesis, diagnosis, treatment and prognosis.

Key words: Endometriosis, Laparotomy Scar, Pathogenesis, Diagnosis, Treatment, Prognosis