Postoperative scar endometriosis (clinical observation)

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Abstract

A clinical observation of endometrioid infiltrate of a postoperative scar formed as a result of surgical delivery by cesarean section is presented in this article.

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About the authors

Vitaly F. Bezhenar

Academician I.P. Pavlov First St. Petersburg State Medical University of the Ministry of Healthcare of the Russian Federation

Author for correspondence.
Email: bez-vitaly@yandex.ru
ORCID iD: 0000-0002-7807-4929

MD, PhD, DSci (Medicine), Professor, Head of the Department of Obstetrics, Gynecology, and Neonatology, Head of the Department of Obstetrics, Gynecology, and Reproductive Sciences, Head of the Obstetrics and Gynecology Clinic

Russian Federation, Saint Petersburg

Byuzand V. Arakelyan

Academician I.P. Pavlov First St. Petersburg State Medical University of the Ministry of Healthcare of the Russian Federation

Email: buzand@mail.ru

MD, PhD, DSci (Medicine), Professor of the Department of Obstetrics, Gynecology, and Neonatology, Deputy Head of the Obstetrics and Gynecology Clinic

Russian Federation, Saint Petersburg

Viktor A. Linde

Academician I.P. Pavlov First St. Petersburg State Medical University of the Ministry of Healthcare of the Russian Federation

Email: vik-linde@yandex.ru

MD, PhD, DSci (Medicine), Professor. The Department of Obstetrics, Gynecology, and Reproductive Sciences

Russian Federation, Saint Petersburg

Irina A. Kuznetsova

Academician I.P. Pavlov First St. Petersburg State Medical University of the Ministry of Healthcare of the Russian Federation

Email: iak1970@rambler.ru

MD, PhD, Associate Professor. The Department of Pathological Anatomy with Pathology Department

Russian Federation, Saint Petersburg

Nina A. Tatatrova

Academician I.P. Pavlov First St. Petersburg State Medical University of the Ministry of Healthcare of the Russian Federation

Email: nina-tatarova@yandex.ru

MD, PhD, DSci (Medicine), Professor. The Department of Obstetrics, Gynecology, and Reproductive Sciences

Russian Federation, Saint Petersburg

Sholpan M. Azhimova

Academician I.P. Pavlov First St. Petersburg State Medical University of the Ministry of Healthcare of the Russian Federation

Email: sholpan.azhimova@gmail.com

MD, Post-Graduate Student. The Department of Obstetrics, Gynecology, and Neonatology

Russian Federation, Saint Petersburg

Eduard K. Derii

Academician I.P. Pavlov First St. Petersburg State Medical University of the Ministry of Healthcare of the Russian Federation

Email: derii.eduard@gmail.com

Student. Medical Faculty

Russian Federation, Saint Petersburg

Yulia L. Voskresenskaya

Academician I.P. Pavlov First St. Petersburg State Medical University of the Ministry of Healthcare of the Russian Federation

Email: voskresenskayayl4@mail.ru

Student. The Faculty of Dentistry

Russian Federation, Saint Petersburg

References

  1. Доброхотова Ю.Э., Кузнецов П.А., Копылова Ю.В., Джохадзе Л.С. Кесарево сечение: прошлое и будущее // Гинекология. – 2015. – Т. 17. – № 3. – С. 64‒67. [Dobrokhotova YuE, Kuznetsov PA, Kopylova YuV, Dzhokhadze LS. Caesarean section: past and future. Ginekologiya. 2015;17(3):64-67. (In Russ.)]
  2. Жаркин Н.А. Медико-социальные и этические проблемы операции кесарева сечения // Материалы VI Российского форума «Мать и дитя»: тез. докл. — М., 2004. — С. 76‒77. [Zharkin NA. Mediko-sotsial’nye i eticheskie problemy operacii kesareva secheniya. (Conference proceedigs) Materialy VI Rossiyskogo foruma “Mat’ i ditya”: tez. dokl. Moscow; 2004. P. 76-77. (In Russ.)]
  3. Логутова Л.С., Ахвледиани К.Н. Пути снижения частоты оперативного родоразрешения в современном акушерстве // Российский вестник акушера-гинеколога. – 2008. – T. 8. – № 1. – С. 57‒61. [Logutova LS, Akhvlediani KN. Ways of reducing the rate of surgical delivery in modern obstetrics. Rossiyskiy vestnik akushera-ginekologa. 2008;8(1):57-61. (In Russ.)]
  4. Häger RM, Daltveit AK, Hofoss D, et al. Complications of cesarean deliveries: Rates and risk factors. Am J Obstet Gynecol. 2004;190(2):428-434. https://doi.org/10.1016/ j.ajog.2003.08.037.
  5. Wong WM, Lao TT, Liu KL. Predicting the success of external cephalic version with a scoring system. A prospective, two-phase study. J Reprod Med. 2000;45(3):201-206.
  6. Aytac HO, Aytac PC, Parlakgumus HA. Scar endometriosis is a gynecological complication that general surgeons have to deal with. Clin Exp Obstet Gynecol. 2015;42(3):292-294.
  7. Ozel L, Sagiroglu J, Unal A, et al. Abdominal wall endometriosis in the cesarean section surgical scar: A potential diagnostic pitfall. J Obstet Gynaecol Res. 2012;38(3):526-530. https://doi.org/10.1111/j.1447-0756.2011.01739.x.
  8. Мишина А.Е., Гладун С.Е., Заставницкий Г.М., Мишин И.В. Эндометриоз послеоперационного рубца // Новости хирургии. – 2013. – Т. 21. – № 3. – С. 116–119. [Mishina AE, Gladun SE, Zastavnitsky GM, Mishin IV. Endometriosis in postoperative scar. Novosti Khirurgii. 2013;21(3):116-119. (In Russ.)]. https://doi.org/10.18484/2305-0047.2013.3.116.
  9. Francica G. Reliable clinical and sonographic findings in the diagnosis of abdominal wall endometriosis near cesarean section scar. World J Radiol. 2012;4(4):135-140. https://doi.org/10.4329/wjr.v4.i4.135.
  10. Петухов А.А., Флоренсов В.В., Рудая В.В. Эндометриоз послеоперационного рубца // Бюллетень Восточно-Сибирского научного центра Сибирского отделения РАМН. – 2016. – Т. 1. – № 2. – С. 20–24. [Petukhov AA, Florensov VV, Rudaya VV. Endometriosis of postoperative cicatrix. Byulleten Vostochno-Sibirskogo nauchnogo tsentra Sibirskogo otdeleniya RAMN. 2016;1(2):20-24. (In Russ.)]
  11. Рухляда Н.Н., Бирюкова Е.И., Аракелян Б.В. Сочетанное применение Бусерелин-депо и внутрибрюшной цитостатической химиотерапии при лечении тяжелых форм эндометриоза // Журнал акушерства и женских болезней. – 2009. – Т. 58. – № 2. – С. 48–52. [Rukhlyada NN, Biryukova EI, Arakelyan BV. Combined use of Depo-Buserelin and intraperitoneal cytostatic chemotherapy in the treatment of severe endometriosis. Journal of obstetrics and women’s diseases.2009;58(2):48-52. (In Russ.)]

Supplementary files

Supplementary Files
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2. Fig. 1. Magnetic resonance imaging (MRI). Frontal and sagittal MRI sections at the level of endometrioid lesions of the anterior abdominal wall (indicated by arrows)

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3. Fig. 2. Macroscopic picture of the removed preparation

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4. Fig. 3. Cystic endometrioid heterotopy (alcian blue staining, at ×320 magnification)

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5. Fig. 4. Cystic glandular variant of endometrioid heterotopy with mixed inflammatory infiltration in the stroma (hematoxylin and eosin staining at ×320 magnification)

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6. Fig. 5. Expression of progesterone receptors in the epithelium of endometrioid heterotopy (immunohistochemical reaction with antibodies to progesterone receptors at ×400 magnification)

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7. Fig. 6. Expression of estrogen receptors in the epithelium of endometrioid heterotopy (immunohistochemical reaction with antibodies to estrogen receptors at ×280 magnification)

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8. Fig. 7. Expression of estrogen receptors in the epithelium of endometrioid heterotopy (immunohistochemical reaction with antibodies to estrogen receptors at ×400 magnification)

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Copyright (c) 2020 Bezhenar V.F., Arakelyan B.V., Linde V.A., Kuznetsova I.A., Tatatrova N.A., Azhimova S.M., Derii E.K., Voskresenskaya Y.L.

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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
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