Endometriosis of the Abdominal Wall: Case Review and Literature Insights

H. Tahiri, O. Tounsi, I. Azzahiri, R. Bouroumane, Marco Diani, M. Benzalim, S. Alj
In: Scholars Journal of Medical Case Reports · 2025 · vol. 13(10) , pp. 2293–2296 · doi:10.36347/sjmcr.2025.v13i10.025 · W4415236593
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-08-12 ⓘ

This case review and literature analysis describes a painful abdominal wall nodule at a cesarean scar, confirmed as endometriosis by imaging and histology, with wide local excision and mesh repair identified as the optimal treatment.

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⚙ AI-generated deep summary by gpt-5.6-luna, 2026-08-12 · read from full text ⓘ

This case report reviews abdominal wall endometriosis and describes a 34-year-old woman with a painful, firm nodule arising in a cesarean-section scar, with cyclic symptoms. Ultrasound and CT demonstrated a heterogeneous soft-tissue lesion with peripheral vascularity or enhancement, and wide local excision with mesh repair was performed; histopathology confirmed the diagnosis. The report emphasizes that imaging helps define lesion extent, whereas histology establishes confirmation, while noting no major study limitation beyond its single-case design. This paper is centrally about endometriosis — specifically the diagnosis and surgical management of abdominal wall endometriosis in a cesarean-section scar.

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Abstract

Background: Abdominal wall endometriosis (AWE) is an uncommon extrapelvic manifestation of endometriosis, most frequently occurring in surgical scars after cesarean section. It usually presents as a painful subcutaneous nodule with cyclic exacerbation. Case presentation: We report the case of a 34-year-old woman presenting with a painful nodule at a cesarean section scar. Clinical examination revealed a firm, tender mass. Ultrasound showed a heterogeneous hypoechoic lesion with peripheral vascularity. CT imaging confirmed a heterogeneous soft-tissue mass within the anterior abdominal wall at the cesarean scar, with mild peripheral enhancement. The patient underwent wide local excision with mesh repair. Histopathology confirmed abdominal wall endometriosis. Conclusion: AWE should be suspected in women with painful scar-related nodules. Imaging defines lesion extent, histology provides confirmation, and complete excision remains the treatment of choice.
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An International Publisher for Academic and Scientific Journals Author Login Scholars Journal of Medical Case Reports | Volume-13 | Issue-10 Endometriosis of the Abdominal Wall: Case Review and Literature Insights H. Tahiri, O. Tounsi, I. Azzahiri, R. Bouroumane, A. Diani, M. Benzalim, S. Alj Published: Oct. 10, 2025 | 319 548 Pages: 2293-2296 Downloads Abstract Background: Abdominal wall endometriosis (AWE) is an uncommon extrapelvic manifestation of endometriosis, most frequently occurring in surgical scars after cesarean section. It usually presents as a painful subcutaneous nodule with cyclic exacerbation. Case presentation: We report the case of a 34-year-old woman presenting with a painful nodule at a cesarean section scar. Clinical examination revealed a firm, tender mass. Ultrasound showed a heterogeneous hypoechoic lesion with peripheral vascularity. CT imaging confirmed a heterogeneous soft-tissue mass within the anterior abdominal wall at the cesarean scar, with mild peripheral enhancement. The patient underwent wide local excision with mesh repair. Histopathology confirmed abdominal wall endometriosis. Conclusion: AWE should be suspected in women with painful scar-related nodules. Imaging defines lesion extent, histology provides confirmation, and complete excision remains the treatment of choice.

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