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International Journal of Innovation and Applied Studies
ISSN: 2028-9324     CODEN: IJIABO     OCLC Number: 828807274     ZDB-ID: 2703985-7
 
 
Saturday 07 December 2019

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Scarred parietal endometriosis after caesarean section : A Case report


[ Endométriose pariétale cicatricielle après césarienne : A propos d’un cas ]

Volume 26, Issue 1, April 2019, Pages 69–72

 Scarred parietal endometriosis after caesarean section : A Case report

Oussama Outaghyame1, Zakaria Idri2, Moulay Abdellah BABAHABIB3, Jaouad Kouach4, and Driss Rahali Moussaoui5

1 Service de gynécologie Obstétrique, Hôpital Militaire d’instructif Mohamed V, Rabat, Morocco
2 Department of obstetrics & gynecology Military Training Hospital Mohamed V, Rabat, Morocco
3 Service de gynécologie-obstétrique, Hôpital Militaire d’Instruction Mohammed V, Rabat, Morocco
4 Department of Gynecology-Obstetric, Military Training Hospital Med V, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
5 Department of Gynecology-Obstetric, Military Training Hospital Med V, Rabat, Morocco

Original language: French

Received 10 January 2019

Copyright © 2019 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract


Parietal endometriosis is a rare clinical entity whose pathophysiology remains unclear. It occurs most often after gynecological or obstetrical surgery. We report the case of a patient with cyclic pain at the level of the caesarean section scar. With clinical examination, two nodules on both sides of the scar increase in size associated with pain punctuated by the menstrual cycle. Pelvic ultrasonography showed two nodular formations of hypoechoic, avascular Doppler echo, apparently in relation to endometriotic nodules. Hence the decision to excise the lesion widely, whose anatomopathological study confirms the diagnosis of parietal endometriosis. Postoperative follow-up was straight forward with a follow-up of 12 months without recurrence of lesions or pain. Through our case, we will insist on the characteristics of this pathology, which will allow the practitioner to understand the interest of the diagnosis and early management of this condition as well as the possibility of its prevention during each gynecological surgery or obstetric.

Author Keywords: endometriosis, abdominal wall, caesarean section, cyclic pain, resection.


Abstract: (french)


L’endométriose pariétale est une entité clinique rare, dont la physiopathologie demeure imprécise. Elle survient le plus souvent après une intervention chirurgicale gynécologique ou obstétricale. Nous rapportons le cas d'une patiente présentant une douleur cyclique, au niveau de la cicatrice de césarienne, avec à l'examen clinique deux nodules de part et d’autre de la cicatrice augmentant de taille associée à des douleurs rythmées par le cycle menstruel. L’échographie pelvienne a mis en évidence deux formations nodulaires d’échostructure hypoéchogène, avasculaire au doppler en rapport vraisemblablement avec des nodules endométriosiques. D'où la décision d'excision large de la lésion dont l’étude anatomopathologique confirme le diagnostic d'endométriose pariétale. Les suites postopératoires étaient simples avec un recul de 12 mois sans récidive des lésions ni de la douleur. A travers notre cas, nous insisterons sur les caractéristiques de cette pathologie, ce qui permettra au praticien de comprendre l'intérêt du diagnostic et de la prise en charge précoce de cette affection ainsi que la possibilité de sa prévention au cours de chaque chirurgie gynécologique ou obstétricale.

Author Keywords: endométriose, paroi abdominale, césarienne, douleurs cycliques, exérèse.


How to Cite this Article


Oussama Outaghyame, Zakaria Idri, Moulay Abdellah BABAHABIB, Jaouad Kouach, and Driss Rahali Moussaoui, “Scarred parietal endometriosis after caesarean section : A Case report,” International Journal of Innovation and Applied Studies, vol. 26, no. 1, pp. 69–72, April 2019.