Korean J Obstet Gynecol.  2004 Aug;47(8):1611-1614.

Two Cases of Endometriosis at the site of Episiotomy Scar and Abdominal Scar following Cesarean Section

• Kang KS
• Oh JY
• Park SY
• Moon JB
• Hong SK
• Lee YH

Abstract

The most frequent ectopic locations of endometriosis include, in descending order of frequency, the ovaries, uterine ligaments, the rectovaginal septum, and peritoneum covering the pelvic organs, that is, uterus, fallopian tubes, rectum, sigmoid colon, and bladder. Endometriosis at the site of episiotomy scar and abdominal scar following cesarean section are very rare conditions among the extrapelvic endometriosis. We have experienced two cases of endometriosis. One occurred from episiotomy scar and the other occurred from abdominal scar following cesarean section. The diagnosis of scar endometriosis is suggested if the symptoms are cyclic or in association with the patient's menstrual cycle. We can use ultrasonography, computerized tomography, magnetic resonance imaging to differentiate from other tumors. Surgical excision is the method of choice for diagnosis and treatment. We report the two cases with review of rare extrapelvic endometriosis.

Keyword

Scar endometriosis; Episiotomy scar; Abdominal scar

MeSH Terms

Cesarean Section*
Cicatrix*
Colon, Sigmoid
Diagnosis
Endometriosis*
Episiotomy*
Fallopian Tubes
Female
Ligaments
Magnetic Resonance Imaging
Menstrual Cycle
Ovary
Peritoneum
Pregnancy
Rectum
Ultrasonography
Urinary Bladder
Uterus