International Clinical and Medical Case Reports Journal (ISSN: 2832-5788) | Volume 2, Issue 9 | Case Report | Open Access

Cesarean Scar Endometriosis Causes Abdominal Pain, Reporting a Case and Literature Review

Abdulrahman Alotaibi*

Department of Surgery, Faculty of Medicine, University of Jeddah, Jeddah, Saudi Arabia

*Correspondence to: Abdulrahman Alotaibi 

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Abstract

Endometriosis may develop outside the pelvis. Of the several kinds of endometriosis that may affect the abdominal wall, Cesarean Scar Endometriosis (CSE) is a prevalent one. We present the case of a 41-year-old female who had suffered nonspecific lower abdomen discomfort for 3 years and swelling for 2 months. The swelling is approximately 1 cm x 2 cm, tender, immobile in subcutaneous under the Pfannenstielscar in the right lower quadrant. The patient underwent a Caesarean Section (CS) three years ago without any complications. Impression was stitch granuloma versus sebaceous cyst. Surgical excision of the lesion was done, and the histopathological finding confirmed endometriosis. In conclusion, Abdominal discomfort may be the first sign of CSE, which may manifest as a stitch sinus or skin lesion. The presence of pain mandate biopsy. All Excise dlesions nearby a scar must be sent to histopathology since it can lead to a diagnosis of hidden abdominal endometriosis.

Keywords:

Case report; Cesarean Scar Endometriosis (CSE); Endometriosis; Gynecology; Abdominal pain

Citation:

Baher Obeidat, Ghassan Obaid, Rahaf Badr, Jannat Abdullah, Abdulrahman Alotaibi. Cesarean Scar Endometriosis Causes Abdominal Pain, Reporting a Case and Literature Review.Int Clinc Med Case Rep Jour. 2023;2(9):1-6.