Caesarean scar endometriosis: how to make an accurate diagnosis

Senapathige Nilan Kalidasa Rodrigo, Iranthi Kumarasinghe, Kumarasinghe I, Eranda Diyagama Gunasekera, Gunasekera ED
BMJ case reports · 2024 · vol. 17(11) , pp. e261053 · doi:10.1136/bcr-2024-261053 · PMID:39488440 · W4404001208
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This case report describes a patient with cyclic painful caesarean scar mass, diagnosed via ultrasound and confirmed with histopathology, who was successfully treated with surgical excision for endometriosis.

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Abstract

Caesarean scar endometriosis is a rare condition characterised by the presence of endometrial tissue within a surgical scar following a caesarean section. A woman in her late 30s presented with a painful lump beneath her caesarean section skin scar, worsening during menstruation. Despite a previous incision and drainage procedure for a 'scar abscess', the symptoms persisted. Ultrasound imaging revealed a cystic lesion beneath the scar. A diagnosis of scar endometriosis was made, and surgical excision was performed. The patient remained symptom-free at 2-year follow-up postsurgery. Histopathology confirmed the presence of endometrial glands and stroma within the scar tissue. This case demonstrates that a reliable diagnosis of caesarean section endometriosis could be made with a triad of symptoms of a cyclic painful mass at the site of a caesarean section scar. Imaging is helpful in excluding other differential diagnoses. Diagnosis can be confirmed with histopathology and treated with complete surgical excision.

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Condition tags

endometriosis

MeSH descriptors

Cesarean Section Cesarean Section Cesarean Section Cesarean Section Cesarean Section Cesarean Section Cesarean Section Cesarean Section Cesarean Section Cesarean Section Cesarean Section Cesarean Section Cesarean Section Cesarean Section Cesarean Section Cesarean Section Cesarean Section Cesarean Section Cesarean Section Cesarean Section

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (18)

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