Table 1 Patients characteristics, diagnostic methods and treatment performed
Patients | Age at Diagnosis | Personal History | Time between Surgery and Diagnosis | Symptoms | Image Diagnosis/FNA | Location | Involving Neighboring Structures | Node Size | Other Location Endometriosis |
|---|---|---|---|---|---|---|---|---|---|
1 | 29 | Laparoscopic ovarian cystectomy for endometriosis (1999). Ewing sarcoma in right psoas (2000) treated with chemotherapy and radiotherapy. Wedge resection of right ovary for endometriotic cyst (Same time surgical psoas) | 10 | Dark skin lesion that festers in umbilical region in previous scar area of 2x1cm. Dysmenorrhea. | MR/No | Infraumbilical | No involvement. Fascia was resected for cancer. | 2 cm | Yes. Ovary. |
G0P0 | |||||||||
2 | 38 | Without positive findings | 3 | Painful node in episiotomy. The pain is accompanied by inflammation and always coincides with menstruation. Pain increases as time passes. | Ultrasound/No | Deeply in episiotomy scar. It extends into the ischiorectal fossa. | No | 3 cm | No |
G1V1 Forceps | |||||||||
3 | 32 | Without positive findings | 2 | Episiotomy painful node which size increases with menstruation. | No/Yes: endometriosis | Episiotomy. | No | 1.5 cm | No |
G1 V1 | |||||||||
4 | 28 | Endometriosis diagnosed in 2007. | 4 | Intense dysmenorrhea. Abdominal wall nodule in right rectus. | Ultrasound/Yes: endometriosis | Right rectus of the abdomen muscle. | Yes. Nodule in right hemiabdomen. | 1 cm | Yes. Ovary. |
G1 C1: active genital Herpes virus lesions. | |||||||||
5 | 36 | Without positive findings | 3 | Painful node. | Ultrasound/No | Right angle cesarean scar. | No | 1.5 cm | No |
G2 A1 C1: No progress in labor | |||||||||
6 | 32 | Without positive findings | 3 | Painful tumor of 4–5 cm in the upper left corner of cesarean scar. | No/Yes: endometriosis | Left angle of cesarean scar | No | 5 cm | No |
G2 C1 V1 (2008): suspected fetal distress | |||||||||
7 | 23 | Without positive findings | 2 | Tender lump in cesarean section (right paramedian region) that increases in size with menstruation. | Ultrasound/No | Rigth angle of cesarean scar | Fascia and muscle involvement. | 1 cm | No |
G1 C1: breech presentation. | |||||||||
8 | 39 | Resection of endometriotic node in cesarean section in 2005. Recurrence in 2010. | 2 | Tender lump in the upper left corner of cesarean section, which increased in size. | Ultrasound/Yes: no titratable. | Left angle of cesarean scar. | Fascia involvement. | 1.5 cm | No |
G1 C1: breech presentation | |||||||||
9 | 35 | Without positive findings | 5 | Nodule in left corner of cesarean scar which hurts and comes bigger with menstruation | Ultrasound/Yes: endometriosis | Left angle of cesarean scar. | No | 3 cm | No |
G1C1 cephalic-breech twin | |||||||||
10 | 45 | Without positive findings | 15 | Umbilical tumor that increases with Valsalva maneuvers. | No/No | Umbilicus. Medium laparatomy scar. | Hernia sac | 2 cm | No |
G2 A1 C1 breech | |||||||||
11 | 37 | Hemithyroidectomy for multinodular goiter. Hypothyroidism. Appendectomy | 5 | Dysmenorrhea. Hypermenorrhoea. | No/No | Abdominal oblique muscle. | Yes | 2 cm | No |
G4 A2 V1 C1:suspected fetal distress | |||||||||
12 | 33 | Tuberculosis in 1994. Anxious depressive syndrome. Migraines. | 1 | Tumor that appeared after an effort in hypogastrium, which is propelled by coughing and reduced manually. About infraumbilical laparotomy scar. Approx 4 cm | No/No | Down the umbilicus in infraumbilical laparotomy scar. | Hernia sac | 3 cm | No |
G2 C2: breech presentation and uterine septum/anterior cesarean section and transverse situation in 2001. | |||||||||
13 | 27 | Without positive findings | 1.5 | Tumor that increases in size in left iliac fosse after cesarean section. | CT/Yes. Carcinoma. Intraoperative biopsy: endometriosis. Definitive result: endometriosis. | Left iliac fosse, related to cesarean section scar. | Resection is performed removing surrounding tissue until peritoneum. | 3 cm | No |
G1C1: breech presentation | |||||||||
14 | 29 | Without positive findings | 5 | Nodule in right angle cesarean scar that hurts and comes bigger with menstruation | No/Yes: endometriosis | Right angle of cesarean scar. | No | 3 cm | No |
G1 C1: No progress in labor | |||||||||
15 | 30 | Appendectomy | 4 | Tender lump in the upper left corner of cesarean scar | No/Yes: endometriosis | Left angle of cesarean scar. | No | 2 cm | No |
G1 C1: transverse situation. | |||||||||
16 | 36 | Without positive findings | 5 | Bluish nodule in left corner of cesarean scar | No/Yes: endometriosis | Left angle of cesarean scar. | No | 1 cm | No |
G2 V1 C1: No progress in labor | |||||||||
17 | 26 | Without positive findings | 3 | Node in left iliac fosse that increases in size with menstruation. | No/No | Left iliac fosse, related to cesarean section scar. | No | 4 cm | No |
G2 A1 C1: breech presentation |