Scar endometriosis: a mimic of acute abdominal emergencies -
Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...
Scar endometriosis can be a great mimic of common surgical and gynaecological conditions in reproductive age females. The correct preoperative diagnosis is only achieved in a relatively low number of patients (20–50%). This uncommon condition presents diagnostic challenges and requires surgical excision in most cases.This article presents a case of scar endometriosis in a young female with a previous history of caesarean section.

Case Presentation:
A 29-year-old female presented to accident and emergency at local hospital with 2 days of acute abdominal pain. She reported no pyrexia, diarrhoea or vomiting. She had complained of cyclical pain over the preceding few months and had a past history of two  caesarean sections and endometriosis. She took no regular medications, and had received courses of non-steroidal anti-inflammatory analgesia and co-dydramol. Her admission blood tests were normal including a negative serum beta human chorionic gonadotropin. Serum CA-125 measurements were not taken in this case. On examination, she was exquisitely tender in the midline suprapubically with no rebound tenderness...

http://bit.ly/2hwY04I
Dr. S●●●●●●●●e G●●●a and 2 other likes this
Like
Comment
Share