Incisional Endometriosis – Two Case Reports

Sofianos Chrysis1, Sofianos Constantinos2,

1-Charlotte Maxeke Johannesburg Academic Hospital,

2-Life Bedford Gardens Hospital,

Correspondence to: Dr Chrysis Sofianos PO Box 79663, Senderwood, Johannesburg,2145, South Africa, Email -





Little has changed since Rokitansky described endometriosis in 1861. Incisional or scar endometriosis is rare, reported in 0..03-1..08% of women following obstetric or gynaecologicall surgery, in most cases after caesarean section.. Its incidence is expected to rise with the increase in numbers of caesarean sections and laparoscopicic gynaecological procedures.The classic triad of a painful abdominal mass, with the pain getting worse during menstruation and history of previous incision in the area is usually diagnosticic but not always present. Two cases of incisionaliil endometriosis are presented, with a suggested management approach given.


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