OB-GYN-L Messages for July, 2002: Re: endometriosis in C/S scar

Re: endometriosis in C/S scar

From: gynendohaiti jean louis

gynendohaiti@hotmail.com

Tue Jul 30 08:56:50 2002

If there is no contrindication to use the GNRH in this patient I would do so for a couple of month and then go for a laparoscopic exam and destroy any lesion that can be found- the scar would be removed just after the lap .

actually I do not think there is a better way for endo than surgery

Garald Jean-Louis , MD
Port au Prince , Haiti

>From: "Braun, R. Daniel"

>Reply-To: ob-gyn-l@obgyn.net

>To: Multiple recipients of list OB-GYN-L

>Subject: endometriosis in C/S scar

>Date: Tue, 30 Jul 2002 08:21:57 -0500

>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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