Abdominal Wall Endometriosis in Cesarean Section Scar: A Case Series of Six Patients

Amina Jannat Peea, Syeda Noorjahan Karim, Sumaiya Binte Wahid, Md Shohanur Rahman, Banga Kamal Basu, Shantanu Sen, Abhijit Mondol
In: Mediscope · 2026 · vol. 13(1) , pp. 65–68 · doi:10.3329/mediscope.v13i1.87105 · W7127055978
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-07-17 ⓘ

This case series presents six patients with abdominal wall endometriosis in cesarean section scars, emphasizing its consideration in differential diagnoses of cesarean scar masses.

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This paper reports a case series of six patients with abdominal wall endometriosis located in cesarean section scars, diagnosed and encountered at Gazi Medical College Hospital over 2020–2023. It describes the condition as surgical scar endometriosis, characterized by endometrial gland and stroma near the incision site, and emphasizes that early diagnosis is associated with a good prognosis, though no specific study methodology is detailed beyond case reporting. The authors conclude that masses at cesarean scar incisions should be considered for differential diagnosis with definitive diagnosis based on excision, but the work’s main limitation is its small, descriptive case-series design without comparative methods. This paper is centrally about endometriosis — specifically abdominal wall (cesarean scar) endometriosis.

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Abstract

Background: Surgical scar endometriosis is a subtype of extra-pelvic endometriosis that is characterized by the formation of endometrial gland and stroma near the incision site in patients who have previously undergone surgery. In recent times, with the increasing trend in Caesarean sections, the incidence of surgical scar endometriosis has also emerged. But early diagnosis usually leads to a good prognosis. Methods: The article is a case series; therefore, no specific methods have been applied. Results: Here we present six cases of endometriosis in the cesarean section scar that we have encountered in Gazi Medical College Hospital, Khulna, in the last 4 years (Jan 2020-Dec 2023). Conclusion: Abdominal wall endometriosis should be considered in the differential diagnosis of masses located at cesarean section incision scars, which should be excised for definitive diagnosis and treatment. Mediscope 2026;13(1): 65-68
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Keywords

Cesarean section, Endometriosis, ScarAbstract

Background

Surgical scar endometriosis is a subtype of extra-pelvic endometriosis that is characterized by the formation of endometrial gland and stroma near the incision site in patients who have previously undergone surgery. In recent times, with the increasing trend in Caesarean sections, the incidence of surgical scar endometriosis has also emerged. But early diagnosis usually leads to a good prognosis.

Methods

The article is a case series; therefore, no specific methods have been applied.

Results

Here we present six cases of endometriosis in the cesarean section scar that we have encountered in Gazi Medical College Hospital, Khulna, in the last 4 years (Jan 2020-Dec 2023).

Conclusion

Abdominal wall endometriosis should be considered in the differential diagnosis of masses located at cesarean section incision scars, which should be excised for definitive diagnosis and treatment. Mediscope 2026;13(1): 65-68 120 Downloads Published How to Cite Issue Section License Copyright (c) 2026 Amina Jannat Peea, Syeda Noorjahan Karim, Sumaiya Binte Wahid, Md. Shohanur Rahman, Banga Kamal Basu, Shantanu Sen, Abhijit Mondol This work is licensed under a Creative Commons Attribution 4.0 International License. Authors who publish in the Mediscope agree to the following terms that: - Authors retain copyright and grant Mediscope the right of first publication of the work. Articles in Mediscope are licensed under a Creative Commons Attribution 4.0 International License CC BY-4.0. This license permits use, distribution and reproduction in any medium, provided the original work is properly cited. - Authors are able to enter into separate, additional contractual arrangements for the distribution of the journal’s published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal. - Authors are permitted to post their work online (e.g., in institutional repositories or on their website) as it can lead to productive exchanges, as well as greater citation of published work.

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endometriosis

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