Scar endometriosis following hysterotomy: a case report

Sasikala Kola, Nivedita Krishnamoorthy, Shivaranjani KS
In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology · 2014 · pp. 854–856 · doi:10.5455/2320-1770.ijrcog20140977 · W2110991373
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-13 ⓘ

This case report describes scar endometriosis, a rare entity following hysterotomy, which is often misdiagnosed as other benign conditions.

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This paper is a case report describing a rare diagnosis of scar endometriosis developing after a hysterotomy, noting that such lesions are often mistaken for abscess, suture granuloma, or lipoma. The authors present the clinical context and emphasize the diagnostic difficulty and rarity of scar endometriosis following gynecologic/obstetrical surgery. A key limitation is that the evidence is limited to a single case without comparative methods. This paper is centrally about endometriosis — specifically scar endometriosis following hysterotomy at a surgical incision.

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Abstract

Scar endometriosis is a rare entity mostly following obstetrical and gynecological surgeries and difficult to diagnose. It is often misdiagnosed as abscess, suture granuloma or lipoma. We report a case of scar endometriosis following hysterotomy - because of its rarity.
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Keywords

Scar endometriosis, Suture granuloma, HysterotomyAbstract Scar endometriosis is a rare entity mostly following obstetrical and gynecological surgeries and difficult to diagnose. It is often misdiagnosed as abscess, suture granuloma or lipoma. We report a case of scar endometriosis following hysterotomy - because of its rarity. Metrics

References

Al-Jabri K. Endometriosis at caesarian section scar. Oman Med J. 2009;24:294-5. Chatterjee SK. Scar endometriosis: a clinicopathologic study of 17 cases. Obstet Gynecol. 1980;56(1):81-4. Firilas A, Soi A, Max M. Abdominal incision endometriomas. Am Surg. 1994;60:259-61. Singh KK, Lessells AM, Adam DJ, Jordan C, Miles WF, Macintyre IM. Presentation of endometriosis to general surgeons: a 10-year experience. Br J Surg. 1995;82:1349-51. Balleyguier C, Chapron C, Chopin N, Hélénon O, Menu Y. Abdominal wall and surgical scar endometriosis: results of magnetic resonance imaging. Gynecol Obstet Invest. 2003;55:220-4. Esquivel-Estrada V, Briones-Garduño JC, Mondragón-Ballesteros R. Implante de endome-triosis en cicatriz de operacióncesárea. Cirugía e Cirujanos. 2004;72(2):113-5. Higginbottom J. Termination of pregnancy by abdominal hysterotomy. Lancet. 1973;1(7809):937-8. S. Minaglia, D. R. Mishell, C. A. Ballard. Incisional endometriomas after cesarean section: a case series. J Reprod Med Obstet Gynecol. 2007;52(7):630-4. de Oliveira MA, de Leon AC, Freire EC, de Oliveira HC, Study SO. Risk factors for abdominal scar endometriosis after obstetric hysterotomies: a case-control study. Acta Obstet Gynecol Scand. 2007;86(1):73-80. Sinha R, Kumar M, Matah M. Abdominal scar endometriosis after cesarean section: a rare entity. Australas Med J. 2011;4(1):60-2. Wicherek L, Klimek M, Skret-Magierlo J, Czekierdowski A, Banas T, Popiela TJ, et al. The obstetrical history in patients with Pfannenstiel scar endometriomas: an analysis of 81 patients. Gynecol Obstet Invest. 2007;63(2):107-13. Ridley JH, Edwards K. Experimental endometriosis in the human. Am J Obstet Gynecol 1958;76:783-9. Rani PR, Soundararaghavan S, Rajaram P. Endometriosis in abdominal scars: review of 27 cases. Int J Gynecol Obstet. 1991;36(3):215-8. Guilherme Karam Corrêa Leite, Luis Fernando Pina de Carvalho, Henri Korkes, Thiago Falbo Guazzelli, Grecy Kenj, Arildo de Toledo Viana. Scar endometrioma following obstetric surgical incisions: retrospective study on 33 cases and review of the literature. Sao Paulo Med J. 2009;127(5):270-7. K. Kinkel, K. A. Frei, C. Balleyguier, C. Chapron. Diagnosis of endometriosis with imaging: a review. Eur Radiol. 2006;16(2):285-98. C. P. Crum. The female genital tract. In: R. S. Cotran, V. Kumar, V. Collins, eds. Robbins Pathologic Basis of Disease. 6th ed. Philadelphia, Pa, USA: Saunders; 1999: 1035-1092.

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Condition tags

endometriosis

Citation neighborhood

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. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (19)

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