Cesarean Section Scar Endometriosis : A Case Report and Review of the Literature

VORAPONG PHUPONG, M.D.*, SURANG TRIRATANACHAT, M.D.*

Affiliation : *Department of Obstetrics and Gynecology, Faculty of Medicine, Chulalongkom University, Bangkok 10330, Thailand.

AbstractCesarean section scar endometriosis is a rare event. The reported incidence is 0.03-1.7 per cent. Herein, the authors report a case of a 35-year-old woman, G1 P1 who presented with cyclic pain at the left lateral edge of the pfannenstiel scar. The skin of this edge had also become dark brown. She had undergone a cesarean section for cephalopelvic disproportion four years previously. Physical examination revealed only mild tenderness and a dark brown nodule at the left lateral edge of the scar. Pre-operative diagnosis was scar endometriosis, surgical excision was performed and the tissue pathology confirmed the characteristic features of endometriosis. The post-operative course was uneventful, and no recurrence was found during the two-year follow-up period. The literature regarding cesarean section scar endometriosis was reviewed.

Keywords : Cesarean Section, Scar, Endometriosis, Surgery

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