Scar endometriosis with rudimentary horn: An unusual and elucidative report of a case diagnosed on histopathology and immunohistochemistry

Endometriosis is defined as the presence of functioning endometrial tissue outside the endometrial cavity. Scar endometriosis, also known as spontaneous abdominal wall endometriosis, is an unusual clinical presentation which often goes unnoticed. It usually develops after pelvic operations. The inci...

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Main Authors: Varsha Chauhan (Author), Mukta Pujani (Author), Kanika Singh (Author), Raina Chawla (Author), Rashmi Ahuja (Author)
Format: Book
Published: Wolters Kluwer Medknow Publications, 2017-01-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Varsha Chauhan  |e author 
700 1 0 |a Mukta Pujani  |e author 
700 1 0 |a Kanika Singh  |e author 
700 1 0 |a Raina Chawla  |e author 
700 1 0 |a Rashmi Ahuja  |e author 
245 0 0 |a Scar endometriosis with rudimentary horn: An unusual and elucidative report of a case diagnosed on histopathology and immunohistochemistry 
260 |b Wolters Kluwer Medknow Publications,   |c 2017-01-01T00:00:00Z. 
500 |a 0976-7800 
500 |a 0976-7819 
500 |a 10.4103/jmh.JMH_69_17 
520 |a Endometriosis is defined as the presence of functioning endometrial tissue outside the endometrial cavity. Scar endometriosis, also known as spontaneous abdominal wall endometriosis, is an unusual clinical presentation which often goes unnoticed. It usually develops after pelvic operations. The incidence has been estimated to be only 0.03%-0.15% of all cases of endometriosis. It can be either asymptomatic or present as abdominal wall pain at the site of surgical incision. It is most commonly diagnosed clinically or on ultrasonography. The treatment of choice predominantly remains surgical excision. We present a case of a 24-year-old female (known case of bicornuate uterus) who presented with chief complaints of abdominal pain for 1 month and 6 months after metroplasty. The patient was clinically diagnosed as a case of scar endometriosis with rudimentary horn and fistulous tract and taken up for surgery. Both the scar tissue and fistulous tract were removed and histopathology revealed only endometrial glands without stroma or hemosiderin-laden macrophages. Diagnosis of scar endometriosis was established on positive immunohistochemistry for estrogen and progesterone receptor in endometrial glands. Timely diagnosis and surgical excision of scar endometriosis along with close follow-up are necessary to prevent complications and recurrence. 
546 |a EN 
690 |a Bicornuate uterus 
690 |a endometriosis 
690 |a fistulous tract 
690 |a rudimentary horn 
690 |a scar endometriosis 
690 |a Gynecology and obstetrics 
690 |a RG1-991 
690 |a Geriatrics 
690 |a RC952-954.6 
655 7 |a article  |2 local 
786 0 |n Journal of Mid-Life Health, Vol 8, Iss 4, Pp 196-199 (2017) 
787 0 |n http://www.jmidlifehealth.org/article.asp?issn=0976-7800;year=2017;volume=8;issue=4;spage=196;epage=199;aulast=Chauhan 
787 0 |n https://doaj.org/toc/0976-7800 
787 0 |n https://doaj.org/toc/0976-7819 
856 4 1 |u https://doaj.org/article/dcb983826b8f493dabd068795db9edab  |z Connect to this object online.