Introduction: Endometriosis is a common gynaecological condition occurring in 8% - 15% of reproductive age group women. It is defined as the ectopic implantation of functioning endometrium outside the uterus, the commonest site being the pelvis. Scar endometriosis is rare and difficult to diagnose as it can be confused with other surgical conditions. It occurs in 0.1% of women with an abdominal scar. Aim: The aim of this paper is to report a case of scar endometriosis, its diagnosis and its management. Case Report: A 43-year-old female patient with scar endometriosis post hysterectomy surgery; diagnosed by MRI and managed by surgical excision. Conclusion: Scar endometriosis is a challenging diagnosis that usually takes time; mainly because it is commonly confused with other conditions due to its vague presenting symptoms. It has to be kept in mind in patients post pelvic surgery. The gold standard for the diagnosis of scar endometriosis is Histopathology. MRI aids in the pre-surgical diagnosis.
Cite this paper
Alhubaishi, F. S. , Rafeei, L. K. , Albalooshi, S. and Suresh, B. (2020). Post Hysterectomy Scar Endometriosis: A Case Report. Open Access Library Journal, 7, e6684. doi: http://dx.doi.org/10.4236/oalib.1106684.
Oosterlynck, D.J., Cornillie, F.J., Waer, M., Vandeputte, M. and Koninckx, P.R. (1991) Women with Endometriosis Show a Defect in Natural Killer Activity Resulting in a Decreased Cytotoxicity to Autologous Endometrium. Fertility and Sterility, 56, 45-51. https://doi.org/10.1016/S0015-0282(16)54414-8
Balleyguier, C., Chapron, C., Chopin, N., Hélénon, O. and Menu, Y. (2003) Abdominal Wall and Surgical Scar Endometriosis: Results of Magnetic Resonance Imaging. Gynecologic and Obstetric Investigation, 55, 220-224.
Horton, J.D., Dezee, K.J. and Ahnfeldt, E.P. (2008) Abdominal Wall Endometriosis: A Surgeon’s Perspective and Review of 445 Cases. The American Journal of Surgery, 196, 207-212. https://doi.org/10.1016/j.amjsurg.2007.07.035
de Oliveira, M.A., de Leon, A.C., Freire, E.C. and de Oliveira, H.C. (2007) Risk Factors for Abdominal Scar Endometriosis after Obstetric Hysterotomies: A Case Control Study. Acta Obstetricia et Gynecologica Scandinavica, 86, 73-80.