{"paper_id":"43674ad8-93a2-4cf7-81dd-c71cd4a402c2","body_text":"An International Publisher for Academic and Scientific Journals\nAuthor Login\nScholars Journal of Medical Case Reports | Volume-13 | Issue-10\nEndometriosis of the Abdominal Wall: Case Review and Literature Insights\nH. Tahiri, O. Tounsi, I. Azzahiri, R. Bouroumane, A. Diani, M. Benzalim, S. Alj\nPublished: Oct. 10, 2025 |\n319\n548\nPages: 2293-2296\nDownloads\nAbstract\nBackground: Abdominal wall endometriosis (AWE) is an uncommon extrapelvic manifestation of endometriosis, most frequently occurring in surgical scars after cesarean section. It usually presents as a painful subcutaneous nodule with cyclic exacerbation. Case presentation: We report the case of a 34-year-old woman presenting with a painful nodule at a cesarean section scar. Clinical examination revealed a firm, tender mass. Ultrasound showed a heterogeneous hypoechoic lesion with peripheral vascularity. CT imaging confirmed a heterogeneous soft-tissue mass within the anterior abdominal wall at the cesarean scar, with mild peripheral enhancement. The patient underwent wide local excision with mesh repair. Histopathology confirmed abdominal wall endometriosis. Conclusion: AWE should be suspected in women with painful scar-related nodules. Imaging defines lesion extent, histology provides confirmation, and complete excision remains the treatment of choice.","source_license":"CC0","license_restricted":false}