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Title of Journal: Arch Gynecol Obstet

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Abbravation: Archives of Gynecology and Obstetrics

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Springer-Verlag

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DOI

10.1016/0014-5793(78)80291-9

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1432-0711

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Scar endometriosis after a laparotomy for uterine

Authors: Shozo Kurotsuchi Akira Iwase Maki Goto Yumi Hariyama Fumitaka Kikkawa
Publish Date: 2009/02/12
Volume: 279, Issue: 6, Pages: 941-943
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Abstract

A 38yearold gravid 1 para 1 woman underwent dilatation and curettage due to an intrauterine infection During the procedure uterine perforation occurred and an emergency laparotomy was performed to provide hemostasis and suturing Three years later she complained of pain and swelling at the lower end of her abdominal scar during menstruation A biopsy of the abdominal scar demonstrated endometriosis The patient elected to receive conservative management rather than a surgical procedure Therefore hormonal therapy was initiated The hormonal therapy provided symptomatic relief and reduced the size of the lesionWe reported an extremely rare case of scar endometriosis after a laparotomy for a uterine perforation that occurred as a complication of dilatation and curettage We suggest that hormonal therapy using gonadotropinreleasing hormone agonist might be an alternative to surgical treatment for ectopic endometriosis

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