ENDOMETRIOSIS

Mussarat Sultana, Huma Karamat, Asma Batool
In: The Professional Medical Journal · 2018 · vol. 25(01) , pp. 165–167 · doi:10.29309/tpmj/18.4296 · W4246377852
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This case report describes a multiparous woman whose cesarean scar pain was diagnosed as endometriosis via clinical examination and confirmed by histopathology after surgical excision.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 · read from full text ⓘ

This case report describes a 32-year-old multiparous woman with three prior cesarean sections who developed chronic pain in a cesarean scar for three years, with a firm tender nodule that became more prominent during menstruation. Using clinical examination and ultrasound findings of hypoechoic areas with echogenic shadowing, the authors made a clinical diagnosis of scar endometriosis, noting that MRI was unremarkable. The patient underwent local incision with en bloc dissection, and histopathology confirmed endometrial glands, with the paper discussing pathogenesis, diagnosis, and treatment of this presentation while not presenting broader population-based evidence. This paper is centrally about endometriosis — specifically cesarean section scar (incisional) endometriosis.

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Abstract

A 32 years multiparous lady with history of previous three caesarean sections,presented with pain in the scar for the last three years. Clinical examination revealed a firm andtender nodule under the scar which used to become prominent on menstruation. Ultrasoundshowed hypoechoic areas with echogenic shadowing. MRI was unremarkable. Clinical diagnosisof scar endometriosis was made. Local incision done with enblock dissection. Histopathologyconfirmed the presence of endometrial glands. This is a case report of cesarean section scarendometriosis. The pathogenesis, diagnosis and treatment of this presentation are discussed.
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ENDOMETRIOSIS ENDOMETRIOSIS AT CAESARIAN SECTION SCAR. DOI: https://doi.org/10.29309/TPMJ/2018.25.01.556Keywords: Endometriosis, Scar Endometriosis, Incisional EndometriosisAbstract A 32 years multiparous lady with history of previous three caesarean sections, presented with pain in the scar for the last three years. Clinical examination revealed a firm and tender nodule under the scar which used to become prominent on menstruation. Ultrasound showed hypoechoic areas with echogenic shadowing. MRI was unremarkable. Clinical diagnosis of scar endometriosis was made. Local incision done with enblock dissection. Histopathology confirmed the presence of endometrial glands. This is a case report of cesarean section scar endometriosis. The pathogenesis, diagnosis and treatment of this presentation are discussed. Downloads Published 2018-01-10 Issue Section Origianl Article

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endometriosis

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