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Case Series
Cutaneous endometriosis: Symptomatic manifestation during pregnancy—A case series
1 MD, Resident Physician, Obstetrics and Gynecology, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA
2 MD, Assistant Professor, Obstetrics and Gynecology, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA
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Nadia Aurora
125 Paterson Street, New Brunswick, NJ 08901,
USA
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Article ID: 100100Z08NA2021
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Aurora N, Misra N. Cutaneous endometriosis: Symptomatic manifestation during pregnancy—A case series. J Case Rep Images Obstet Gynecol 2021;7:100100Z08NA2021.ABSTRACT
Introduction: Endometriosis is abnormal growth of uterine mucosal tissue outside of the uterus, and is most commonly restricted to the pelvis. Cutaneous manifestations have been well documented, particularly in cesarean scars. This is the first report of symptomatic cutaneous endometriosis during pregnancy.
Case Series: A 22-year-old female and a 29-year-old female both underwent repeat cesarean sections. They each had noted enlarging mobile masses in the area of their scars that became progressively more painful as they became closer to term. During repeat cesarean section these masses were excised, and pathology was consistent with decidualized endometrial tissue.
Conclusion: Cutaneous endometriosis should be included in the differential diagnosis of any patient who presents with pain and/or a palpable mass in the abdominoperineal region, especially in those who have had previous gynecological surgery. Surgery remains the mainstay of treatment. Complete excision prevents recurrence and should be the goal of treatment.
Keywords: Abdominal wall endometrioma, Cutaneous endometriosis, Incisional endometriosis, Pregnancy
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Author Contributions
Nadia Aurora - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Neeti Misra - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2021 Nadia Aurora et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
