Post Cesarean Subcutaneous Endometriosis: A Report of Two Cases

Abstract

Caesarean scar endometriosis is a relatively rare condition, affecting about 1 – 2% of patients following caesarean section. Its incidence may be on the rise in view of the increasing caesarean section rates across the world, Nigeria inclusive. While the predominant presentation is usually that of cyclical pain and swelling in the affected scar, variable presentations may occur leading to diagnostic dilemmas. Diagnosis is still largely clinical. Early diagnosis and treatment via wide surgical excision is important to deal with the symptoms which could be severe and debilitating. We hereby present two cases of caesarean scar endometriosis following emergency caesarean sections. Both patients were diagnosed clinically and treated with wide surgical excision of the lesion.