Scar endometriosis is a gynecological complication that general surgeons have to deal with

H O Aytac, Hüseyin Özgür Aytaç, P C Aytac, Pınar Çağlar Aytaç, H A Parlakgumus, Huriye Ayşe Parlakgümüş
Clinical and experimental obstetrics & gynecology · 2015 · vol. 42(3) , pp. 292–294 · doi:10.12891/ceog1827.2015 · PMID:26151995 · W2420588069
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This retrospective study analyzed 17 scar endometriosis cases, finding total excision effective with low recurrence, and highlighting the need to consider this complication for incisional masses.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text ⓘ

The paper reviews retrospectively documented cases of incisional scar endometriosis in patients diagnosed between 2005 and 2012, focusing on symptom onset after prior obstetrical or gynecologic surgery, diagnostic approaches, treatment methods, pathology results, and recurrence during follow-up. Seventeen patients were included, with prior procedures including one hysterectomy, one vaginal birth with episiotomy, and 15 cesarean sections; 16 lesions were on pfannenstiel scars and one on an episiotomy scar. The authors report only one recurrence during follow-up and emphasize that scar endometriosis should be considered in abdominal wall masses near surgical incisions, noting that malignancy risk should be communicated. A key limitation stated by the authors’ approach is its retrospective design and small sample size. This paper is centrally about endometriosis — specifically scar endometriosis presenting as an incisional abdominal wall mass after obstetrical/gynecologic surgery.

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Abstract

BACKGROUND: Scar endometriosis is the presence of functional endometrium tissue in surgical incisions. It is a complication that develops after obstetrical or gynecological surgical procedures. As it presents with a mass adjacent to surgical incisions, general surgeons usually deal with it. The authors' aim was to review and discuss the differential diagnosis, treatment methods, recurrence rate, and follow up of scar endometriosis. MATERIALS AND METHODS: Data of patients diagnosed with incisional scar endometriosis between 2005 and 2012 were recorded retrospectively. Their initial symptoms, previous surgery histories, onset of symptoms after surgery, duration of symptoms, diagnostic modalities, treatment methods, pathological evaluations, and rate of recurrences were documented and analyzed. RESULTS: Seventeen patients were diagnosed to have scar endometriosis. Former surgical histories were one hysterectomy, one vaginal birth with episiotomy, and 15 cesarean sections. Sixteen of the scar endometrioses were demonstrated on pfannenstiel incision and one on episiotomy scar. Only one recurrence was seen during follow up. CONCLUSION: Scar endometriosis should be taken into account in the surgical practice of incisional site masses of the abdominal wall. They should be excised totally for a proper treatment. Patients must be warned about malignancy risk.
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Abstract

Background: Scar endometriosis is the presence of functional endometrium tissue in surgical incisions. It is a complication that develops after obstetrical or gynecological surgical procedures. As it presents with a mass adjacent to surgical incisions, general surgeons usually deal with it. The authors’ aim was to review and discuss the differential diagnosis, treatment methods, recurrence rate, and follow up of scar endometriosis. Materials and Methods: Data of patients diagnosed with incisional scar endometriosis between 2005 and 2012 were recorded retrospectively. Their initial symptoms, previous surgery histories, onset of symptoms after surgery, duration of symptoms, diagnostic modalities, treatment methods, pathological evaluations, and rate of recurrences were documented and analyzed. Results: Seventeen patients were diagnosed to have scar endometriosis. Former surgical histories were one hysterectomy, one vaginal birth with episiotomy, and 15 cesarean sections. Sixteen of the scar endometrioses were demonstrated on pfannenstiel incision and one on episiotomy scar. Only one recurrence was seen during follow up. Conclusion: Scar endometriosis should be taken into account in the surgical practice of incisional site masses of the abdominal wall. They should be excised totally for a proper treatment. Patients must be warned about malignancy risk.

Keywords

- Endometrioma - Cesarean section - Abdominal wall mass

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Condition tags

mesh:D004715endometriosis

MeSH descriptors

Abdominal Wall Cesarean Section Cicatrix Endometriosis Episiotomy Hysterectomy Postoperative Complications Abdominal Wall Adult Cicatrix Endometriosis Female Humans Middle Aged Postoperative Complications Pregnancy Recurrence Retrospective Studies Young Adult

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