Re: endometriosis in C/S scar

From: ainsron@sbcglobal.net
Tue Jul 30 09:42:29 2002


Excise the endometrioma only, under general, with mesh if necessary. Why poke holes in a belly that is not symptomatic? "First do no harm!"

>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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