SCAR ENDOMETRIOSIS - A CLINICOPATHOLOGIC STUDY OF 17 CASES

  • 1 January 1980
    • journal article
    • research article
    • Vol. 56  (1) , 81-84
Abstract
Clinicopathologic findings are presented from 17 cases of scar endometriosis studied over 5 yr. Multiparous women in the 3rd decade of life were most frequently affected. Cases (71%) followed abdominal hysterotomy, for a 1.08% incidence of scar endometriosis in the patients who underwent hysterotomy during this period. The most common symptom was painful swelling of the scar which waxed and waned with menses. The majority of patients presented from 1-2 yr after the precipitating operation. Associated pelvic endometriosis was present in 24% of the patients. Therapy with oral progestogen was ineffective, and the treatment of choice was clearly surgical excision. The causal relationship between surgery and subsequent scar endometriosis is discussed. Methods of prevention are suggested.

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