TITLE:
Scar Endometriosis: A Diagnostic Conundrum
AUTHORS:
Sebastian A. Omenai, Ojevwe H. Egbo
KEYWORDS:
Endometrioma, Caesarean Scar, Cutaneous Endometriosis, Scar Granuloma
JOURNAL NAME:
Open Access Library Journal,
Vol.9 No.7,
July
25,
2022
ABSTRACT: Cutaneous endometriosis is a rare disease and has remained a diagnostic enigma. It usually presents as a mass in the vicinity of a previous scar. We present a 34-year-old lady who presented with a mass along an initial caesarean section scar. The mass was progressively increasing in size. She was seen in the surgical outpatient department and had surgical excision for a clinical diagnosis of soft tissue fibroma with a differential of foreign body granuloma. Histology of the resected specimen was diagnostic of cutaneous endometriosis. Scar endometriosis should be considered always in abdominal wall nodules present along a previous scar and adequate cleaning of surgical incisions should be done during uterine surgery to prevent implantation.