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Re: endometriosis in C/S scarFrom: Griffiths Malcolm (Malcolm.Griffiths@ldh-tr.anglox.nhs.uk)Tue Jul 30 08:36:15 2002
I have four cases currently of women with either scar endometriosis post CS (three) or one with isolated umbilical endo with no scar. I have laparoscoped two of the former and found no endo. All three have been cured by simple local excision. The umbilical deposit patient is due surgery under plastic surgeons shortly (she is very slim and blonde and works in the sort of job where people often see your umbilicus! Malcolm Griffiths Clinical director & consultant - obstetrics & gynaecology Luton & Dunstable Hospital NHS Trust, Luton, LU4 0DZ, UK Tel:+(44) 1582 497533 Fax: +(44) 1582 497376 -----Original Message----- From: Braun, R. Daniel [mailto:rbraun@iupui.edu] Sent: 30 July 2002 14:22 To: Multiple recipients of list OB-GYN-L Subject: endometriosis in C/S scar Patient is 30 ish G 3 P 3003 all cesarean sections. Had tubal at time of last section. Presents with a 2X3X4 cm lump at the right end of her C/S incision. It swells and becomes tender about the time of her period. No other symptoms at all. The question becomes one of "Since she has endo in her incision, does she have a likelihood of intraperitoneal endo, and if so, should we do a diagnostic scope at the time of excision of the scar endometrioma? If we do and we find endometriosis in this asymptomatic patient, what should we do about that? I would like to heart a lot of opinions. We had a bunch in our morning report. Dan
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