Anterior abdominal wall endometriosis following caesarean section: A case report

LC Ikeako, CK Oranusi
In: Nigerian Medical Journal · 2011 · vol. 52(2) , pp. 138–140 · W1596853504
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⚙ AI-generated summary by claude@2026-07, 2026-07-16 ⓘ

This case report details a 28-year-old woman who presented with cyclical bleeding from her caesarean section scar, a condition confirmed as scar endometriosis following surgical excision.

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⚙ AI-generated deep summary by claude@2026-07, 2026-07-16 · read from full text ⓘ

This paper is a case report describing a 28-year-old woman with a three-month history of bleeding from her cesarean section scar that occurred during monthly menstruation. Examination found a midline subumbilical scar with a sinus tract, surrounding induration, and discharge of menstrual blood. The authors performed wide excision of the lesion and confirmed the diagnosis of scar endometriosis based on the clinical history. This paper is centrally about endometriosis — it documents anterior abdominal wall endometriosis arising in a cesarean section scar.

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Abstract

Endometriosis is the presence of glandular and stromal elements of endometrial tissue in aberrant sites. Extrapelvic endometriosis is rare and possible sites include laparatomy scars, some abdominal viscera and lungs. This is a report of a 28 year woman who presented with a three month history of bleeding from her caesarean section scar during her monthly menstruation, in whom abdominal examination revealed a midline subumbilical scar with a sinus surrounded by area of induration discharging menstrum. A wide excision of the lesion was performed and history confirmed endometriosis. Keywords : Caesarean section, scar endometriosis, polypropylene mesh
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Abstract

Endometriosis is the presence of glandular and stromal elements of endometrial tissue in aberrant sites. Extrapelvic endometriosis is rare and possible sites include laparatomy scars, some abdominal viscera and lungs. This is a report of a 28 year woman who presented with a three month history of bleeding from her caesarean section scar during her monthly menstruation, in whom abdominal examination revealed a midline subumbilical scar with a sinus surrounded by area of induration discharging menstrum. A wide excision of the lesion was performed and history confirmed endometriosis.

Keywords

Caesarean section, scar endometriosis, polypropylene mesh

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endometriosis

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