Scar endometriosis: pre-operative diagnosis by fine needle aspiration cytology

Sneha P. Chavarkar, Rajiv Rao, Akanksha Pandey, Shirish P. Khatu
In: International Journal of Research in Medical Sciences · 2019 · vol. 7(7) , pp. 2862 · doi:10.18203/2320-6012.ijrms20192937 · W2954613256
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This case report details the successful preoperative diagnosis of scar endometriosis via fine needle aspiration cytology, confirmed by histopathology, for a patient with a Cesarean section scar.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 · read from full text ⓘ

This paper reports a case of scar endometriosis occurring in a patient with a troublesome Caesarean section scar, with diagnosis supported by fine needle aspiration cytology (FNAC) and confirmed by histopathology. The authors describe cytomorphological features and emphasize that preoperative suspicion based on a detailed clinical history (including cyclical pain) and lesion location near a prior surgical scar enables FNAC to provide a rapid, cost-effective diagnosis. A key limitation is that the report is essentially a single-patient case discussion without broader data beyond the illustrative cytology findings. This paper is centrally about endometriosis — specifically scar endometriosis diagnosed pre-operatively by fine needle aspiration cytology.

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Abstract

Scar endometriosis is a rare entity commonly observed after obstetrical and gynaecological procedures. The diagnosis is often delayed due to the non-specific nature of symptoms. Detailed clinical history of cyclical pain, location in proximity to a surgical scar and a suspicion of this rare entity in women of childbearing age are key to preoperative diagnosis. This is a case of a patient who presented with a troublesome scar after Caesarean section. On Fine needle aspiration cytology (FNAC) a diagnosis of scar endometriosis was provided which was further confirmed on histopathology. Herein we discuss the cytomorphological features of this rare entity and also emphasize the importance of its diagnosis on FNAC which is a rapid and cost-effective method.
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Scar endometriosis: pre-operative diagnosis by fine needle aspiration cytology DOI: https://doi.org/10.18203/2320-6012.ijrms20192937Keywords: Endometriosis, Fine needle aspiration cytology, Scar endometriosisAbstract Scar endometriosis is a rare entity commonly observed after obstetrical and gynaecological procedures. The diagnosis is often delayed due to the non-specific nature of symptoms. Detailed clinical history of cyclical pain, location in proximity to a surgical scar and a suspicion of this rare entity in women of childbearing age are key to preoperative diagnosis. This is a case of a patient who presented with a troublesome scar after Caesarean section. On Fine needle aspiration cytology (FNAC) a diagnosis of scar endometriosis was provided which was further confirmed on histopathology. Herein we discuss the cytomorphological features of this rare entity and also emphasize the importance of its diagnosis on FNAC which is a rapid and cost-effective method. Metrics References Goel P, Sood SS, Romilla, Dalal A. Cesarean section endometriosis-Report of two cases. Indian J Med Sci. 2005;59(11):495-8. Picod G, Boulanger L, Bounoua F. Abdominal wall endometriosis after cesarean section: report of fifteen cases. Gynecol Obstet Fertil. 2006;34(1):8-13. Uzunçakmak C, Güldaş A, Ozçam H, Dinç K. Scar endometriosis: a case report of this uncommon entity and review of the literature. Case Rep Obstet Gynecol. 2013;2013:386783. Handa U, Mundi I, Mohan H. Pre-operative Diagnosis of Scar Endometriosis by Aspiration Cytology. J Endometriosis. 2011;3(4):218-21. Agarwal N, Subramanian A. Endometriosis-morphology, clinical presentations and molecular pathology. J Lab Physicians. 2010;2(1):1-9. Wolf Y, Haddad R, Werbin N, Skornick Y, Kaplan O. Endometriosis in abdominal scars: a diagnostic pitfall. Am Surg. 1996;62(12):1042-4. Aydin O. Scar endometriosis-a gynaecologic pathology often presented to the general surgeon rather than the gynaecologist: report of two cases. Langenbeck’s Arch Surg. 2007;392(1):105-9. Danielpour PJ, Layke JC, Durie N, Glickman LT. Scar endometriosis-a rare cause for a painful scar: A case report and review of the literature. Can J Plast Surg. 2010;18(1):19-20. Roncoroni L, Costi R, Violi V, Nunziata R. Endometriosis on laparotomy scar: a three-case report. Arch Gynecol Obstet. 2001;265(3):165-7. Pachori G, Sharma R, Sunaria RK, Bayla T. Scar endometriosis: Diagnosis by fine needle aspiration. J Cytol. 2015;32(1):65-7. Catalina-Fernández I, López-Presa D, Sáenz-Santamaria J. Fine needle aspiration cytology in cutaneous and subcutaneous endometriosis. Acta Cytol. 2007;51(3):380-4. Blanco RG, Parthivel VS, Shah AK, Gumbs MA, Schien M, Grest PH. Abdominal wall endometriomas. Am J Surg. 2003;185(6):596-8.

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