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 lumps near the surgical incision (related area), which can exhibit clinical manifestations that vary with the menstrual cycle. The patient may feel 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 located in the subcutaneous tissue or fascia and rarely penetrates the peritoneum. Therefore, surgery typically involves excising the local subcutaneous lesion, and it may not require an abdominal incision. Recovery is relatively quick after the surgery. Your condition may be considered for surgical treatment. If you have significant concerns about surgery, medication can be used for a period of time, but surgery may still be necessary in the future, as it can remove visible lesions. Post-surgery, treatment decisions will be based on pathology results. There is a possibility of recurrence after surgery, but the recurrence rate is relatively low.