Abstract

POST-CESAREAN SCAR PARIETAL ENDOMETRIOSIS: ABOUT A CASE AND REVIEW OF THE LITERATURE

Jamal EL Azzaoui*, Meryeme Roueijel, Aicha Bennani, Najia Zraidi, Amina Lakhdar, Abdelaziz Baidada and Aicha Kharbach

ABSTRACT

Endometriosis of the wall is a rare clinical entity, the pathophysiology of which remains unclear. It usually occurs on a gynecological or obstetric surgical intervention scar. We report the case of a patient with cyclic pain, at the level of the cesarean scar, With a clinical examination of a mass of 5cm located at the level of the right iliac fossa. Doppler ultrasound objectified a dermo-sub dermal image with an irregular contour of mixed echo-structure; hypoechoic component and microcystic component; 44mm avascular of the long axis, evoke a parietal endometriotic mass. Magnetic resonance imaging shows a lesion of the heterogeneous hyper T1 and hyperT2 anterior abdominal wall that does not fade after fat saturation; measuring 31 / 35mm. Hence the decision to excise the lesion, the anatomopathological study of which confirmed the diagnosis of parietal endometriosis. The postoperative follow-ups were simple with a follow-up of 2 and a half years without recurrence of the mass or pain. Through our case, we will insist on the characteristics of this pathology in particular prognosis, which will allow the practitioner to understand the interest of the diagnosis and early management of this entity - for which we never think enough before a parietal mass - and prevention during each gynecological or obstetric surgery.

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