title: [Parietal-scar endometriosis after cesarean section: a rare entity].
abstract: Wall endometriosis is a rare clinical entity whose pathophysiology remains unclear. It occurs most frequently after gynecologic or obstetric surgery. We report the case of a patient with cyclic pain at the caesarean section scar. Clinical examination showed a 5 cm mass in the right iliac fossa. Tomodensitometry revealed a tissue density mass (45mm on the major axis). Hence, the decision to perform a wide excision of the lesion. Anatomo-pathological examination confirmed the diagnosis of parietal endometriosis. Postoperative sequelae were simple with a follow-up period of 20 months with no recurrence of the mass or of the pain. Our study highlights the characteristics of this disease to allow the health practitioner to understand the importance of diagnosis, of early treatment of this disease as well as of the possibility to prevent it during each gynecologic or obstetric surgery.
authors.affiliation: Service de Chirurgie Viscérale I de l'Hôpital Militaire Mohammed V, Rabat, Maroc.
authors.forename: Mohammed
authors.initials: M
authors.lastname: El Fahssi
authors.affiliation: Service de Chirurgie Viscérale I de l'Hôpital Militaire Mohammed V, Rabat, Maroc.
authors.forename: Massama
authors.initials: M
authors.lastname: Lomdo
authors.affiliation: Service de Chirurgie Viscérale I de l'Hôpital Militaire Mohammed V, Rabat, Maroc.
authors.forename: Ahmed
authors.initials: A
authors.lastname: Bounaim
authors.affiliation: Service de Chirurgie Viscérale I de l'Hôpital Militaire Mohammed V, Rabat, Maroc.
authors.forename: Abdelmounaim Ait
authors.initials: AA
authors.lastname: Ali
authors.affiliation: Service de Chirurgie Viscérale I de l'Hôpital Militaire Mohammed V, Rabat, Maroc.
authors.forename: Khalid
authors.initials: K
authors.lastname: Sair
mesh_terms: D015746:Abdominal Pain / Q000209:etiology*; D034861:Abdominal Wall / Q000000981:diagnostic imaging* / Q000473:pathology; D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects; D002921:Cicatrix / Q000000981:diagnostic imaging* / Q000473:pathology; D004715:Endometriosis / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D011247:Pregnancy; D012008:Recurrence; D014057:Tomography, X-Ray Computed / Q000379:methods
keywords: Endometriosis; abdominal wall; parietoplasty