Abdominal scar endometriosis

Jamabo RS, Rollings S. Jamabo, Rosemary N Ogu, Rosemary Ogu
The Indian journal of surgery · 2008 · vol. 70(4) , pp. 184–187 · doi:10.1007/s12262-008-0050-8 · PMID:23133054 · PMC3452771 · W2105157932
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⚙ AI-generated summary by gemini-2.5-flash-lite+body, 2026-06-13 ⓘ

This retrospective study of 14 pre-menopausal women treated for abdominal scar endometriosis found that a thorough surgical history and high suspicion are crucial for pre-operative diagnosis.

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This retrospective 5-year case series (2002–2006) reviewed all patients with histologically proven abdominal scar endometriosis at a single hospital, documenting demographics and management. Fourteen pre-menopausal women (mean age 29.1 years) presented with painful, heaped-up abdominal scars and cyclical menstrual-related pain, and were often initially referred with other diagnoses such as incisional hernia, granuloma, or keloid scar; all had prior uterine surgery. Treatment consisted of wide excision of the lesion with edge apposition, with short follow-up and no reported recurrence or wound breakdown during the period observed; a key limitation was that patients stopped attending the hospital, limiting duration of follow-up. This paper is centrally about endometriosis — specifically abdominal scar endometriosis presenting as a diagnostic pitfall after uterine surgery.

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Abstract

BackgroundAbdominal scar endometriosis is an uncommon pathology. It can occur in any abdominal scar, most often after a surgical procedure on the uterus.AimThe purpose of this study is to highlight the potential pitfall in the diagnosis of this disease.Patients and methodsThis retrospective study reviewed all cases of proven abdominal scar endometriosis seen in a 5-year period (2002-2006) in our hospital, noting the demographic data of the patients and management. They were all treated by the same surgeon and also had histopathological confirmation of the lesion.ResultsA total of 14 women were treated during this period. They were all pre-menopausal. The mean age was 29.1years (range 20 to 42). Presenting symptoms included painful 'heaped-up' scars and cyclical pain related to their menstrual periods. They were referred to the general surgical clinic with various diagnoses such as incisional hernia, granuloma, keloid scar etc. All the patients had history of previous surgical procedures on the uterus for various indications. Treatment was a wide excision of the lesion with apposition of the edges only. Specimens were examined histologically and confirmed to be endometriosis. The follow up periods were rather short as the patients stopped to attend the hospital. During this period, there was no recurrence or wound break-down.ConclusionAlthough scar endometriosis is a rare entity, a good and diligent surgical history and a high index of suspicion are the keys for a pre-operative diagnosis.
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Abstract

Background Abdominal scar endometriosis is an uncommon pathology. It can occur in any abdominal scar, most often after a surgical procedure on the uterus. Aim The purpose of this study is to highlight the potential pitfall in the diagnosis of this disease. Patients and methods This retrospective study reviewed all cases of proven abdominal scar endometriosis seen in a 5-year period (2002–2006) in our hospital, noting the demographic data of the patients and management. They were all treated by the same surgeon and also had histopathological confirmation of the lesion.

Results

A total of 14 women were treated during this period. They were all pre-menopausal. The mean age was 29.1years (range 20 to 42). Presenting symptoms included painful ‘heaped-up’ scars and cyclical pain related to their menstrual periods. They were referred to the general surgical clinic with various diagnoses such as incisional hernia, granuloma, keloid scar etc. All the patients had history of previous surgical procedures on the uterus for various indications. Treatment was a wide excision of the lesion with apposition of the edges only. Specimens were examined histologically and confirmed to be endometriosis. The follow up periods were rather short as the patients stopped to attend the hospital. During this period, there was no recurrence or wound break-down.

Conclusion

Although scar endometriosis is a rare entity, a good and diligent surgical history and a high index of suspicion are the keys for a pre-operative diagnosis. Similar content being viewed by others

References

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