Cesarean Scar Endometriosis: An Uncommon Surgical Complicati
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Case Presentation
A 37-year-old, G3P3, reported the appearance of a subcutaneous abdominal mass, with discreet menstrually related enlargement, pain, and sporadic brown leakage. Personal history revealed that she had undergone three lower segment cesarean sections; the two first ones were planned, respectively, at 39 and 38 weeks of gestational age for narrow pelvic outlet with uneventful postoperative period. The last one was an emergency, performed at 32 weeks for heavy placenta praevia hemorrhage, with positive fetal outcome. The mass appeared 7 months after the last cesarean section.

Physical examination performed during her menstruation period found a palpable tender subcutaneous oval mass of 80 × 35?mm, located under the incision scar, with a small 2?mm diameter skin orifice at the center of the mass, producing thick brown leakage when pressuring the skin on both sides of the orifice (Figure 1). Sonography and Doppler examinations of the abdominal wall soft tissue revealed a heterogeneous hypoechoic mass studded with echogenic spots....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5343249/
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