Jitendra Singh Nigama*, Anita Omhareb, Ankit Sharmac
aDepartment of Pathology, Anadman and Nicobar Islands, Institute of Medical Sciences, Port Blair, Andaman and Nicobar Islands, India, bDepartment of Pathology, GSVM Medical College, Kanpur, Uttar Pradesh, India, cDepartment of Pathology, LBS Hospital, New Delhi, India
Open Access funded by Buddhist Compassion Relief Tzu Chi Foundation
Abstract
Endometriosis is the presence of functioning endometrium outside the basement membrane of the uterine endometrium. It affects women of reproductive age and usually presents as a painful nodule over a period of 3 months to 10 years after surgery. Extrapelvic endometriosis is uncommon and more difficult to diagnose due to its variable presentation and is often confused with other surgical conditions. Fine‑needle aspiration cytology (FNAC) is a rapid, cost‑effective, and accurate diagnostic tool when making this diagnosis. Wide excision is the treatment of choice for scar endometriosis as well as for recurrent lesions. We present a case of scar endometriosis in a 30‑year‑old female who had undergone a cesarean section 2 years previously and was diagnosed by FNAC. A later histopathological examination confirmed the cytological diagnosis of scar endometriosis.
Keywords: Extrapelvic endometriosis, Functioning endometrium, Obstetric surgery, Reproductive age