Patient's question:
Four and a half years after cesarean section, there is a 2cm×2cm hard knot at the incision site. For the past year, menstrual flow has been reduced, and there have been two episodes of incision pain during menstruation. It is suspected to be abdominal wall endometriosis, and surgery is recommended.Doctor's answer:
Hello: The clinical diagnosis of endometriosis of the abdominal wall is as follows: a history of cesarean section surgery, the presence of subcutaneous hard nodules near the surgical incision (related area), which can present clinical manifestations that change with the menstrual cycle. The patient feels the lump enlarging and causing pain during menstruation. Ultrasound can help diagnose the location, depth, and size of the lump. This type of lump is generally subcutaneous or on the fascia and rarely penetrates the peritoneum. Therefore, surgery only involves excising the local subcutaneous lesion, and may not require an abdominal incision. Recovery is relatively quick after surgery. Your condition may be considered for surgical treatment. If you have too many concerns about surgery, you can also take medication for a period of time, but there is still a possibility of surgery in the future, as surgery can remove the visible lesions. After surgery, treatment will be determined based on pathology. There is a possibility of recurrence after surgery, but the recurrence rate is relatively low.