Re: endometriosis in C/S scar

From: Joe Cutchin (forcep@intercom.net)
Tue Jul 30 17:13:37 2002


Guess I've done about 5 of these .Just remove the endo in the scar and they do well.

"Braun, R. Daniel" wrote:

> 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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