Endometriosis Facts: Three Distinct Endometriosis Foci Following Cesarean Section

Abstract

In this case study, a 27-year-old patient had a cesarean section 8 years ago and has one living child. She presented with progressively increasing abdominal pain that began following the cesarean delivery. Despite not using any contraceptive methods after her initial cesarean section, she experienced fertility issues. However, due to having a living child, she did not receive infertility treatment. Clinical presentation, magnetic resonance imaging, and macroscopic and microscopic examination results were analyzed for the patient who had endometriotic foci in the left ovary, rectus abdominis muscle, and subcutaneous tissue about 3 cm to the left of the Pfannenstiel incision. It is discussed how to treat endometriotic foci by surgically excising them. The surgical specimen's histopathology confirms the diagnosis. In women who have a previously had a cesarean section, doctors should consider cesarean scar endometriosis if there are painful lesions in the abdomen and cesarean scar, along with increased pain during menstruation.