Scar Endometrioma: An Uncommon Yet Easily Treated Condition.

OBJECTIVE: To illustrate and emphasize the need for keeping scar endometrioma in mind in order to facilitate an early diagnosis in cases of a mass detected on the abdominal wall in women who have undergone a cesarean section. STUDY DESIGN: Records of 21 patients were reviewed retrospectively. All the patients complained of a mass on the abdominal wall and had undergone cesarean section in the past. Endometrioma was confirmed histopathologically for each patient. Information about the characteristics of the patients are retrieved from the patient records and analyzed. RESULTS: The average age of patients was 31 years. The average duration before onset of the complaints in the postcesarean section period was 32.9 months, and the average duration of the complaints was 25.3 months. In most cases (62%) the scar endometrioma was located at the right end of the Pfannenstiel incision. The average size of the endometrioma masses was 30 mm. Recurrence was not observed in any of the patients during an average follow-up of 31.3 months after total excision. CONCLUSION: Scar endometrioma is a rare disease which can be treated easily. If a mass on a cesarean section scar which becomes sensitive during menstruation is detected in a patient with history of cesarean section, the diagnosis of scar endometrioma should be suspected.

A Rare Parasitic Infection: Primary Intradural Extramedullary Hydatid Cyst.

Echinococcus granulosus infrequently induces spinal hydatid cysts, and intradural hydatid cysts are extremely rare among these spinal hydatid cysts. We report a 30-year-old man with a history of progressive back pain caused by a previous back injury. Magnetic resonance imaging revealed a spinal intradural cystic lesion. After surgical removal, histopathological diagnosis was a hydatid cyst. The patient had no other symptoms of systemic hydatid cyst disease. Diagnosis of hydatid cyst should be considered prior to surgery, especially in young patients with spinal intradural cystic lesions, as leakage of the hydatid cyst's fluid during surgery is a frequent case of recurrence.

A bladder wall angiomyolipoma as a manifestation of tuberous sclerosis: first case report.

A 21-year-old female patient admitted to the emergency department complaining of left side pain. Hypovolemic shock, which was probably caused by retroperitoneal bleeding from left sided renal angiomyolipoma, was developed. Abdominal computed tomography showed multiple fat containing lesions in different, regions including right bladder wall, lower pole of left kidney, and right kidney. Some lesions compatible with tuberous sclerosis such as angiofibromas, Shagreen patches, myocardial, and brain hamartomas were also detected. Bladder wall mass showing intra- and extravesical extensions was seen at exploration. We removed the tumor completely preserving bladder trigone. Angiomyolipoma located at lower pole of left kidney was also removed. Diagnosis of bladder angiomyolipoma was confirmed by the immunohistochemical examination. Recurrent or residual mass was not detected at the three-months-follow-up. We report the first case of bladder angiomyolipoma confirmed by histopathologically as a tuberous sclerosis.