Scar endometriosis: a case report and literature review

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dc.creatorSara de Pinho Cunha Paiva
dc.creatorPriscilla Benfica Cirilio
dc.creatorGiulia Campos Lage
dc.creatorAngela Storino Das Chagas
dc.date.accessioned2023-08-03T21:34:20Z
dc.date.accessioned2025-09-09T00:47:22Z
dc.date.available2023-08-03T21:34:20Z
dc.date.issued2018-05-22
dc.format.mimetypepdf
dc.identifier.doihttps://doi.org/10.1177/2284026518783663
dc.identifier.issn2284-0265
dc.identifier.urihttps://hdl.handle.net/1843/57442
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofJournal of Endometriosis and Pelvic Pain Disorders
dc.rightsAcesso Restrito
dc.subjectEndometriose
dc.subjectDismenorreia
dc.subjectDistúrbios Menstruais
dc.subject.otherEndometriosis
dc.subject.othermenstruation disturbances
dc.subject.otherdysmenorrea
dc.titleScar endometriosis: a case report and literature review
dc.typeArtigo de periódico
local.citation.epage181
local.citation.issue3
local.citation.spage178
local.citation.volume10
local.description.resumoIntroduction: Surgical scar endometrioma is defined as the presence of an endometrial tissue near or inside an abdominal surgical incision. This is a rare clinical event that can occur in women after gynecological or obstetric surgery, with a global prevalence estimated at 0.01%–1%. The most prevalent clinical feature includes a painful mass with a cyclic pain that exacerbates with menstruation. The aim of this work is to facilitate the identification and support the diagnosis of abdominal wall endometrioma associated with the cesarean section scar, with basis on a case study of a tumor in the cesarean surgical scar of a patient who also complains of dyspareunia and menorrhagia.Case report: A 43-year-old female patient, G4PC4A0, with a single, rounded and painful subcutaneous nodule in the right inguinal region, on the cesarean section scar, which had progressively grown for two years. Patient also reported increased nodule size during menstrual period, associated with pain and menorrhagia. In February 2016, a surgical procedure was performed and by the post-surgical evaluation, the patient had already presented a menstrual cycle and reported decrease in symptoms. Biopsy report brought findings compatible with endometriosis.Conclusion: According to the literature, the clinical picture of the patient confirms the suspected endometrioma. The set of signals and symptoms associated with well-specified additional tests allowed an early and efficient diagnosis. The knowledge of the disease and the adoption of these criteria may mean a reduced burden on health services, but mainly, improve the quality of life of patients.
local.identifier.orcid0000-0002-8107-4540
local.publisher.countryBrasil
local.publisher.departmentMED - DEPARTAMENTO DE GINECOLOGIA OBSTETRÍCIA
local.publisher.initialsUFMG
local.url.externahttps://journals.sagepub.com/doi/full/10.1177/2284026518783663

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