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Re: endometriosis in C/S scarFrom: Gerald P. Rodriguez (geraldpr@cybermesa.com)Tue Jul 30 08:39:06 2002
endometriosis in C/S scarYes, she has a chance of having endometriosis in the pelvis, appendix, etc. Since you say she has no other symptoms, I would resect what is likely a endometrioma in her C/S scar under local, if the patient is amenable to local, and leave well enough alone. Gerald P. Rodríguez, M.D., FACOG Santa Fe
> ----- Original Message ----- 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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