Abdominal wall endometrioma in the cesarean section scar

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A retrospective review of 34 patients with abdominal wall endometriomas in cesarean section scars found that surgical resection is the primary treatment, although recurrence occurred in eight cases and one adenocarcinoma was identified.

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This retrospective review analyzed thirty-four patients diagnosed with abdominal wall endometrioma located in cesarean section scars between 2001 and 2006. All participants presented with abdominal pain and a palpable mass, requiring surgical resection as the primary treatment modality for their condition. The study noted that eight cases experienced disease recurrence necessitating reoperation, while one case involved the rare development of papillary adenocarcinoma within the scar tissue. This paper is centrally about endometriosis — specifically describing the clinical presentation, management, and potential malignant transformation of endometriomas occurring in post-cesarean section abdominal wall scars.

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Abstract

Summary Objectives: The study presents a retrospective review of patients diagnosed with abdominal wall endometrioma in the cesarean section scar between the years 2001-2006. Material and methods: The study presented age, symptoms, size of tumor, time between cesarean section and symptoms, results of treatment. Results: Between 2001-2006, 34 patients, all of which suffered from abdominal pain and palpable mass, were diagnosed and treated in our hospital. In 8 cases the disease returned and reoperation was necessary. In one case we observed adenocarcinoma papillare. Conclusions: Endometriosis in postoperative abdominal wall scar after cesarean section is rarely observed. Because to the fact that the number of cesarean sections is constantly increasing, this complication becomes more frequent. The treatment of choice is surgical resection.

Keywords

cesarean section - scarendometriosisendometrioma

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endometrioma

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last seen: 2026-05-14T06:25:03.100642+00:00
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