Scar endometriosis diagnosed as incisional hernia before surgery.

Autor:	Permatasari NUI; Surgery, Kurnia Hospital, Cilegon, Banten, Indonesia nisauip@gmail.com., Hutabarat FF; Surgery, Kurnia Hospital, Cilegon, Banten, Indonesia., Putri HMAR; Obstetric Gynecology, Gatot Soebroto Army Central Hospital, Central Jakarta, Jakarta, Indonesia.
Jazyk:	angličtina
Zdroj:	BMJ case reports [BMJ Case Rep] 2021 May 04; Vol. 14 (5). Date of Electronic Publication: 2021 May 04.
DOI:	10.1136/bcr-2020-239923
Abstrakt:	Scar endometriosis is a rare condition highly related to history of abdominal surgery. Due to the low incidence, it is often misdiagnosed. A woman presented to the surgery outpatient clinic with a mass near her C-section scar. Physical examination and ultrasound suggested Incisional Hernia while intraoperative finding revealed a mass suggestive of endometriosis which later confirmed by pathology examination. Scar endometriosis is a common subtype of extra-pelvic endometriosis. Iatrogenic transplantation is speculated to be its etiopathogenesis. Preoperatively, it is challenging to differentiate endometriosis from another abdominal masses. The definitive diagnosis is based on laparoscopy or surgery with histological verification. Chronic pain is complex and often involves multiple factors beyond simply a diagnosis of endometriosis, but it is important to think of endometriosis on women patients presenting with a mass and cyclic pain with history of surgery involving a large amount of endometrial cell. Competing Interests: Competing interests: None declared. (© BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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