Katwal Shailendra, Katuwal Sarad, Bhandari Sushmita
Dadeldhura Subregional Hospital, Dadeldhura, Nepal.
Maharajgunj Medical Campus, Institute of Medicine, Tribhuwan University, Kathmandu, Nepal.
SAGE Open Med Case Rep. 2023 Aug 25;11:2050313X231197009. doi: 10.1177/2050313X231197009. eCollection 2023.
Scar endometriosis is a rare form of endometriosis characterized by the presence of endometrial tissue in the abdominal wall following a cesarean delivery. We present a case report of a 38-year-old female with scar endometriosis and provide a comprehensive review of the literature on its clinical management. The patient presented with intermittent pain and swelling at the site of her previous cesarean section scar. Imaging studies revealed a nodular lesion with characteristic features of scar endometriosis. Fine needle aspiration cytology confirmed the diagnosis, ruling out malignancy. The patient underwent wide surgical resection of the mass, resulting in the resolution of symptoms and no recurrence during follow-up. Our case highlights the diagnostic challenge of scar endometriosis, which can mimic carcinoma, and emphasizes the importance of a multidisciplinary approach involving clinical evaluation, imaging, and histopathological examination for accurate diagnosis and optimal management of this condition.
瘢痕子宫内膜异位症是一种罕见的子宫内膜异位症形式，其特征是剖宫产术后腹壁出现子宫内膜组织。我们报告一例38岁患有瘢痕子宫内膜异位症的女性病例，并对其临床管理的文献进行全面综述。该患者既往剖宫产瘢痕部位出现间歇性疼痛和肿胀。影像学检查显示一个具有瘢痕子宫内膜异位症特征性表现的结节性病变。细针穿刺细胞学检查确诊，排除恶性肿瘤。患者接受了肿块的广泛手术切除，症状得以缓解，随访期间无复发。我们的病例突出了瘢痕子宫内膜异位症的诊断挑战，它可能酷似癌，并强调了多学科方法的重要性，该方法包括临床评估、影像学检查和组织病理学检查，以准确诊断和优化这种疾病的管理。
