Abdominal scar endometriosis-a dilemma in diagnosis

Sarika Singh, Ayushi Shrivastav
In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology · 2023 · vol. 12(2) , pp. 504–507 · doi:10.18203/2320-1770.ijrcog20230147 · W4318046535
article OA: diamond CC0
🔓 Open OA copy Full text JSON View on OpenAlex View at publisher
⚙ AI-generated summary by claude@2026-06, 2026-06-11 ⓘ

This paper reports two cases of abdominal scar endometriosis, a rare condition often misdiagnosed as other lesions, highlighting diagnostic challenges and successful surgical excision.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

⚙ AI-generated deep summary by claude@2026-06, 2026-06-11 · read from full text ⓘ

This paper reports two cases of abdominal scar endometriosis where diagnosis was initially confused with other conditions: one lesion was previously labeled as a stitch granuloma with an atypical clinical presentation, while the second had CT findings interpreted as a likely neoplastic lesion. In both cases, the authors managed the diagnostic dilemma with wide excision of the lesion with a safe margin, and histopathology confirmed endometriosis. The main caveat is that the evidence is limited to case reports, so diagnostic uncertainty is illustrated rather than systematically resolved. This paper is centrally about endometriosis — it focuses on diagnostic pitfalls in abdominal scar endometriosis.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Abstract

Abdominal scar endometriosis is a rare disease with an incidence of 0.03-0.15%. Its diagnosis is often confused with other conditions like hematoma, granuloma, diagnostic dilemmas, keloid, incisional hernia and vascular malformation. We are reporting two cases of abdominal scar endometriosis with some diagnostic confusion. In first case it was previously reported as stitch granuloma due to atypical clinical presentation. In second case CT scan was further reported it to be a likely neoplastic lesion. In both the cases, currently wide excision of the lesion with a safe margin was planned and confirmed by histopathology. On follow up both patients are asymptomatic.
Full text 4,129 characters · extracted from oa-doi-fallback · click to expand
Abdominal scar endometriosis-a dilemma in diagnosis DOI: https://doi.org/10.18203/2320-1770.ijrcog20230147Keywords: Scar endometriosis, Wide excision, Diagnosis, HistopathologyAbstract Abdominal scar endometriosis is a rare disease with an incidence of 0.03-0.15%. Its diagnosis is often confused with other conditions like hematoma, granuloma, keloid, incisional hernia and vascular malformation. We are reporting two cases of abdominal scar endometriosis with some diagnostic dilemmas. In first case it was previously reported as stitch granuloma due to atypical clinical presentation. In second case CT scan reported it to be a likely neoplastic lesion. In both the cases, wide excision of the lesion with a safe margin was planned and was further confirmed by histopathology. On follow up both patients are currently asymptomatic. Metrics References Nahir B, Eldar-Geva T, Alberton J, Beller U. Symptomatic diaphragmatic endometriosis ten years after total abdominal hysterectomy. Obstet Gynecol. 2004;104(5):1149-51. Applebaum GD, Iwanczyk L, Balingit PB. Endometrioma of the abdominal wall masquerading as hernia. Am J Emerg Med. 2004;22(7):621-2. Jubanyik KJ, Comite F. Extrapelvic endometriosis. Obstet Gynecol Clin North Am. 1997;24(2):411-40. Singh KK, Lessells AM, Adam DJ, Jordan C, Miles WF, Macintyre IM et al. Presentation of endometriosis to general surgeons: A 10-year experience. Br J Surg. 1995;82(10):1349-51 Wolf Y, Haddad R, Werbin N, Skornick Y, Kaplan O. Endometriosis in abdominal scars: A diagnostic pitfall. Am Surg. 1996;62(12):1042-4. Blanco RG, Parithivel VS, Shah AK, Gumbs MA, Schein M, Gerst PH. Abdominal wall endometriomas. Am J Surg. 2003;185(6):596-8. Cabuk FK, Aktepe F,Kusku E,Coban I,Dogusoy GB. Histological features in abdominal wall endometriosis. Med Sci Int Med J. 2018;7(2):398-401. Minaglia S, Mishell DR, Ballard CA. Incisional endometriomas after cesarean section: a case series. J Reproduct Med Obstetr Gynecol. 2007;52(7):630-4. Aydin O. Scar endometriosis-a gynaecologic pathology often presented to the general surgeon rather than the gynaecologist:report of two cases. Langenbeck’s Arch Surg. 2007;392(1):105-9. Gunes M, Kayikcioglu F, Ozturkoglu E, Haberal A. Incisional endometriosis after cesarean section, episiotomy and other gynecologic procedures. J Obstetr Gynaecol Res. 2005;31(5):471-5. Oner A, Karakucuk S, Serin S. Nasolacrimal endometriosis: a case report. Ophtha Res. 2006;38(5):313-14. Blanco RG, Parithivel VS, Shah AK, Gumbs MA, Schein M, Gerst PH. Abdominal wall endometriomas. Am J Surg. 2003;185(6):596-8. Roncoroni L, Costi R, Violi V, Nunziata R. Endometriosis on laparotomy scar: a three-case report. Arch Gynecol Obstetr. 2001;265(3):165-7. Ding DC, Hsu S. Scar endometriosis at the site of cesarean section. Taiwan J Obstet Gynecol. 2006;45(3):247-9. Seydel AS, Sickel JZ, Warner ED, Sax HC. Extrapelvic endometriosis: Diagnosis and treatment. Am J Surg. 1996;171(2):239. Alexiadis G, Lambropoulou M, Deftereos S, Giatromanolaki A, Sivridis E, Manavis J. Abdominal wall endometriosis - Ultrasound research: A diagnostic problem. Clin Exp Obstet Gynecol. 2001;28:121-2. Yu CH, Perez-Reyes M, Brown JJ, Borrello JA. MR appearance of umbilical endometriosis. J Comput Assist Tomogr. 1994;18:267-71. Pathan SK, Kapila K, Haji BE, Mallik MK, Al-Ansary TA, George SS et al. Cytomorphological spectrum in scar endometriosis: A study of eight cases. Cytopathology. 2005;16(2):94-9. Crum CP. The female genital tract. In: Cotran RS, Kumar V, Collins V, editors. Robbins Pathologic Basis of Disease. 6th ed. Philadelphia, PA: Saunders. 1999;1058. Patterson GK, Winburn GB. Abdominal wall endometriomas: Report of eight cases. Am Surg. 1999;65(1):36-9. Rivlin ME, Das SK, Patel RB, Meeks GR. Leuprolide acetate in the management of cesarean scar endometriosis. Obstet Gynecol. 1995;85(5):838-9. Rani PR, Soundararaghavan S, Rajaram P. Endometriosis in abdominal scars-Review of 27 cases. Int J Gynaecol Obstet. 1991;36(3):215-8. Nirula R, Greaney GC. Incisional endometriosis: An underappreciated diagnosis in general surgery. J Am Coll Surg. 2000;190(4):404-7.

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

⚙ Ask this paper AI returns verbatim quotes from the full text · source: oa-doi-fallback ⓘ

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Condition tags

endometriosis

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (22)

Source provenance

openalex
last seen: 2026-06-10T17:14:06.276822+00:00
License: CC0 · commercial use OK