title: Caesarean scar endometriosis presenting as an acute abdomen: a case report and review of literature.
abstract: OBJECTIVE
  To report a case of Caesarean scar endometriosis presenting as acute abdomen and a review of literature.
  
  
  METHODS
  Case report and literature review.
  
  
  METHODS
  A 27-year-old woman presented in Accident and Emergency Department with pain and lump near left edge of pfannenstiel incision scar.
  
  
  METHODS
  After initial investigations the patient underwent examination under anesthesia.
  
  
  METHODS
  Excision of a tumour-like mass adherent to the skin and the surrounding subcutaneous tissue. The mass was dissected free from the surrounding fat tissue and excised with clear margins.
  
  
  RESULTS
  Histology of the mass confirmed endometriosis in tumour and showed a 2 cm fibrotic nodule within.
  
  
  CONCLUSIONS
  In light of increasing rate of caesarean section, it is important to emphasize the early diagnosis as well as optimum management of scar endometrioma. Many recommendations have been given to modify practices at caesarean section to prevent transplantation of decidual endometrial tissue in the abdominal scar but without any published randomised trials.
authors: Luton and Dunstable Hospital, Lewsey Road, Luton, LU4 0FH, Bedfordshire, UK. gajjarkb@hotmail.com
authors: K B
authors: KB
authors: Gajjar
authors: A A
authors: AA
authors: Mahendru
authors: M A
authors: MA
authors: Khaled
mesh_terms: D000006:Abdomen, Acute / Q000175:diagnosis / Q000209:etiology*; D000328:Adult; D002585:Cesarean Section; D002921:Cicatrix / Q000150:complications*; D004715:Endometriosis / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D005260:Female; D005355:Fibrosis; D006801:Humans