Case Control Study
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World J Clin Cases. May 16, 2014; 2(5): 133-136
Published online May 16, 2014. doi: 10.12998/wjcc.v2.i5.133
Cesarean scar endometrioma: Case series
Cavit Çöl, Edip Erdal Yilmaz
Cavit Çöl, Edip Erdal Yilmaz, Department of General Surgery, Abant Izzet Baysal University Medical Faculty, 14000 Bolu, Turkey
Author contributions: All authors contributed equally to this work.
Correspondence to: Cavit Çöl, Professor, Department of General Surgery, Abant Izzet Baysal University Medical Faculty, Kültür Mh., 14000 Bolu, Turkey. cavitcol@yahoo.com
Telephone: +90-542-6238162 Fax: +90-374-2534559
Received: December 5, 2013
Revised: January 24, 2014
Accepted: April 11, 2014
Published online: May 16, 2014
Processing time: 161 Days and 17 Hours
Abstract

AIM: To evaluate endometrioma located at cesarean scatrix.

METHODS: Medical data of 6 patients who presented to our institution with abdominal wall endometrioma were evaluated retrospectively and reviewed literature in this case series. The diagnostic approaches and treatment is discussed.

RESULTS: All patients had a painful mass located at abdominal scars with history of cesarean section. The ages ranged from 31 to 34 and Doppler ultrasonography (US) detected hypoechoic mass with a mean diameter of 30 mm. Initial diagnosis was endometrioma in 4 and incisional hernia in 2 of 6 patients. Treatment was achieved with surgical excision in 5 patients, and one is followed by hormone suppression therapy with gonadotropin.

CONCLUSION: Malignant or benign tumors of abdominal wall and incisional hernias should be kept in mind for diagnosis of endometrioma. Imaging methods like doppler US, computed tomography and magnetic resonance imaging should be used for differential diagnosis. Definitive diagnosis can only be made histopathologically. The treatment should be complete surgical excision and take care against intraoperative auto-inoculation of endometrial tissue in order to prevent recurrences.

Keywords: Scar endometrioma; Endometriosis; Cesarean

Core tip: This is a case series about endometrioma located at cesarean scatrix. We present 6 patients who have painful abdominal mass of endometrioma. Medical data of 6 patients who admitted to our institution with abdominal wall endometrioma were evaluated respectively in this study. The diagnostic approaches and treatment is discussed and recommended.