Incisional endometriosis after caesarean section: a case report
Endometriosis is defined as the presence of endometrial tissue outside the uterine cavity. It is known to be detected in scar tissue after ceaserean section, hysterectomy, appendectomy, laparascopy, amniosynthesis and episiotomy. The incidence of endometriosis in scar tissue after ceaserean section is between 0.03-0.4%. In our case, endometriosis in ceaserean scar tissue is detected 5 years after ceaserean section. Patient is treated with wide surgical incision, and pathology revealed endometriosis. Presence of cyclic pain of a mass related with ceaserean section scar tissue is pathognomonic of ceaserean scar endometriosis, and extrusion of the mass with wide excision is the treatment modality. Patients should be given appropriate care for their specific problems, besides giving comprehensive care in family medicine.