Cesarean-Section Scar Endometrioma: A Case Report and Review of the Literature

Authors

  • Madison Rush Kocher
  • Andrew Hardie
  • Amanda Schaefer
  • Thomas McLaren
  • Mark D. Kovacs

DOI:

https://doi.org/10.3941/jrcr.v11i12.3178

Keywords:

Cesarean section endometrioma, Cesarean scar endometriosis, scar endometriosis, incisional endometriosis, cutaneous endometriosis, endometriosis, endometrioma, abdominal wall

Abstract

Endometriomas can occur after any surgery where there is endometrial manipulation, and there are a number of reports of endometriomas developing in the abdominal wall at the site of the Pfannenstiel incision following Cesarean-section.  Although this is ultimately a histopathologically-confirmed diagnosis, preoperative imaging including ultrasound, computed tomography, and magnetic resonance imaging may be helpful in the diagnosis and assessment.  We report a pathology-confirmed case of Cesarean-section endometrioma with a classic, clinical presentation and imaging findings on computed tomography.  A comprehensive literature review and discussion of the multi-modality imaging appearance of Cesarean-section endometrioma is also provided.
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Published

2017-12-13

Issue

Vol. 11 No. 12 (2017)

Section

Obstetric & Gynecologic Radiology

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