Scar Endometriosis: A Rare Cause of Abdominal Pain
Round 1
Reviewer 1 Report
Why is this case being sent for publication. scar endometriosis is not such a rare finding.
please describe what was unusual about your case, like type of presentation or clinical misdiagnosis or novelty in work up etc
Author Response
Dear sir/ma'am,
Thank you for your prompt response and your review.
In response to your question,
Concerning the rising rate of Lower Segment Cesarean Section from 7% in 1990 to 21% at present, according to WHO, in the world and the context of Nepal, the rate ranges from 20-81% in the different private hospitals, the cases of scar endometriosis can occur more frequently than generally assumed. It is often misdiagnosed as other surgical causes such as incisional hernia, abscess, suture granulomas, abdominal wall tumor, hematomas, neuromas, etc., a high index of suspicion and proper history taking and clinical examination are needed for diagnosis. So, we prepared a case report highlighting the growing rate of LSCS and its association with scar endometriosis.
Moreover, there is no clear evidence of incidence and prevalence of scar endometriosis up to this date. Some literature and research articles have only mentioned 0.03 – 0.4% and 1.08-2 % post-cesarean and post-hysterectomy. There are only a few case reports in Nepal, and in the context of our hospital, we have only observed 2-to 4 cases in the past eight years. So, based on this, we have prepared this case report to highlight the incident of these cases in Nepal and our hospital settings.
With regards,
Dr. Rohit Nepali
email: [email protected]
Reviewer 2 Report
The clinical pictures and histological photographs are helpful.
Is there a pre-surgical clinical photograph? This would enhance the learning value of the article.
There are a lot of grammatical errors in the article. Extensive editing of English language and style required.
A few examples are given below, however there are many more which should be edited thoroughly.
Line 38: grammatical error, change "The" to "the"
Line 43: change to "over the right side"
Line 45: grammatical error, change "undergone surgery for two pregnancies delivered by LSCS" to "two previous lower section caesarian surgeries"
Line 46: Please amend to "The pain was cyclical, occurring 2-3 days before menstruation, peaking during menstruation, and gradually subsiding within 3 days after menstruation."
Author Response
Dear sir/ma'am,
Thank you for your prompt response and your review.
Unfortunately, in response to your first question, we couldn't get a pre-surgical clinical photograph. The lump was not clinically evident on inspection. It was only evident on palpation having features, as I mentioned there. But, considering this, we would like to apologize for this, and we will humbly take your advice from now on.
in response to your second question, I have corrected the grammar and phrases from a native English speaker. If there are more mistakes, we would humbly take your advice and correct them later wise.
With regards,
Dr. Rohit Nepali
email: [email protected]
Round 2
Reviewer 1 Report
Thanks for the explanation.
