PDF herunterladen
CC BY-NC-ND 4.0 · J Lab Physicians 2010; 2(02): 117-120
DOI: 10.4103/0974-2727.72216
Case Report

Incisional Endometriosis: Diagnosed by Fine Needle Aspiration Cytology

Veda P.
Department of Pathology, ESI PGIMSR, Rajajinagar, Bangalore – 560 010, India
,
Srinivasaiah M.
Department of General Surgery, ESI PGIMSR, Rajajinagar, Bangalore – 560 010, India
› Institutsangaben Source of Support: Nil
› Weitere Informationen
Auch verfügbar auf
  als PDF herunterladen Lizenzen und Reprints

ABSTRACT

Incisional endometriosis (IE) is a rare entity reported in 0.03–1.08% of women following obstetric or gynecologic surgeries. Most cases reported in literature have appeared after cesarean sections and were often clinically mistaken for hernia, abscess, suture granuloma or lipoma. We hereby report a case of IE following a second trimester hysterotomy, which was diagnosed by fine needle aspiration cytology (FNAC). Our patient was 26 years old, presenting with a mass over anterior abdominal wall, associated with incapacitating pain during each menstrual cycle. FNAC showed epithelial cells, stromal cells and hemosiderin laden macrophages. Based on the typical history, clinical and cytological features, the diagnosis of IE was established. Wide surgical excision was done and the resulting rectus sheath defect was repaired. Patient was followed for 6 months during which time she was symptom free. This article also reviews the spectrum of cytological features and the rare possibility of malignant transformation that can occur in IE.

Keywords

Fine needle aspiration cytology - hysterotomy - incisional endometriosis


Publikationsverlauf

Artikel online veröffentlicht:
29. Januar 2020

© 2010.

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 

  • REFERENCES

  • 1 Koger KE, Shatney CH, Hodge K, McClenathan JH. Surgical scar endometrioma. Surg Gynecol Obstet 1993;177:243-6.
  • 2 Sengul I, Sengul D, Kahyaoglu S, Kahyaoglu I. Incisional endometriosis: A report of 3 cases. Can J Surg 2009;52:444-5.
  • 3 Nirula R, Greaney GC. Incisional eEndometriosis: An underappreciated diagnosis in general surgery. J Am Coll Surg 2000;190:404-7.
  • 4 Teng CC, Yang HM, Chen KF, Yang CJ, Chen LS, Kuo CL, et al. Abdominal wall endometriosis: An overlooked but possibly preventable complication. Taiwan J Obstet Gynecol 2008;47:42-8.
  • 5 Chambers DC. Endometriosis of the abdominal surgical scar following hysterotomy. J Nat Med Assoc 1975;67:465-7.
  • 6 Healy JT, Wilkinson NW, Sawyer M. Abdominal wall endometrioma in a laproscopic trocar tract: A case report. Am Surg 1995;61:962-3.
  • 7 Hughes ML, Bartholomew D, Paluzzi M. Abdominal wall endometriosis after amniocentesis: A case report. J Reprod Med 1997;42:597-9.
  • 8 Chiang DT, The WT. Cutaneous endometriosis: Surgical presentations of a gynaecological condition. Aust Fam Physician 2006;35:887-8.
  • 9 Wolf Y, Haddad R, Werbin N, Skornick Y, Kaplan O. Endometriosis in abdominal scars: A diagnostic pitfall. Am Surg 1996;62:1042-4.
  • 10 Chatzikokkinou P, Thorfinn J, Angelidis IK, Papa G, Trevisan G. Spontaneous endometriosis in an umbilical skin lesion. Acta Dermatovenerol Alp Panonica Adriat 2009;18:126-30.
  • 11 Pathan SK, Kapila K, Haji BE, Mallik MK, Al-Ansary TA, George SS, et al. Cytomorphological spectrum of scar endometriosis: A study of eight cases. Cytopathology 2005;16:94-9.
  • 12 Nogales FF, Martin F, Linares J, Naranjo R, Concha A. Myxoid change in decidualized scar endometriosis mimicking malignancy. J Cutan Pathol 1993;20:87-91.
  • 13 Achach T, Rammeh S, Trabelsi A, Ltaief R, Ben Abdelkrim S, Mokni M, et al. Clear cell adenocarcinoma arising from abdominal wall endometriosis. J Oncol 2008;2008:478325.