Clinical profile and outcome of scar endometriosis in a tertiary care centre of Northern India

Autor: Anjali Sharma, Sunil Kumar Juneja, Anshu Sharma, Pooja Tandon
Rok vydání: 2020
Předmět:
Zdroj: International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 9:744
ISSN: 2320-1789
2320-1770
DOI: 10.18203/2320-1770.ijrcog20200370
Popis: Background: Endometriosis is defined as the presence and proliferation of the endometrium outside the uterine cavity affecting an estimated 89 million women of reproductive age worldwide. Endometriosis occurs in 5% to 10% of all women, often resulting in debilitating pain and infertility, endometriosis at the scar site known as Scar endometriosis has also been described following obstetrical and gynecological surgery. Scar endometriosis has a much rarer incidence with an illusive presentation and is often misdiagnosed and definitive treatment gets delayed. Objectives of this study was to review the demographic profile, clinical presentation, treatment modalities and outcome in patients with scar endometriosis.Methods: The retrospective study of patients with scar endometriosis managed at DMCH during January 2014 to December 2018 was done.Results: Eight patients of scar endometrosis were diagnosed and operated in our institution over a period of five years. All patients (six with previous caesarean section scar site and two at episiotomy site) presented with tender nodules with pain which got exaggerated during menstruation.Conclusions: A high index of suspicion of scar endometriosis should be kept in patients presented with cyclical pain and tender mass getting exaggerated during menstruation.
Databáze: OpenAIRE