Cesarean scar endometriosis: our recent experiences

I KOL, I Kováč, M Novotný, K Kováčová, Z Hribíková, J Belák
Rozhledy v chirurgii : mesicnik Ceskoslovenske chirurgicke spolecnosti · 2021 · vol. 100(1) , pp. 27–31 · doi:10.33699/pis.2021.100.1.27-31 · PMID:33691420 · W3134611590
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⚙ AI-generated summary by claude@2026-06, 2026-06-13 ⓘ

This paper reports on two cases of cesarean scar endometriosis, a rare condition causing chronic abdominal pain, which was successfully treated by surgical excision.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-13 · read from full text ⓘ

The paper describes cesarean scar endometriosis as a rare form of abdominal wall endometriosis, most commonly located in scars after cesarean section, with typical presentations including a palpable nodule in the scar and increased lesion tenderness during menstruation. In two reproductive-age women evaluated for pain at a post-cesarean incision site, endometriosis was suspected preoperatively and confirmed by histological examination. The authors state that the main clinical treatment of choice is surgical resection with a negative resection margin, and they emphasize a diagnostic limitation of the case-based evidence by focusing on only two presentations. This paper is centrally about endometriosis — specifically cesarean scar (abdominal wall) endometriosis.

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Abstract

INTRODUCTION: Endometriosis is defined as the presence of endometrial tissue, endometrial glands or endometrial stroma outside the uterine cavity causing chronic inflammatory response. The prevalence of abdominal wall endometriosis is less than 1%. Cesarean scar endometriosis is the most common type of abdominal wall endometriosis. Chronic lower abdominal pain amplified during menstruation and palpable mass in the area of scar are the main symptoms. Generally, surgical resection with negative resection margins offers the best chance for definitive treatment of abdominal wall endometriosis. CASE REPORT: The authors present two female patients in fertile age with chronic pain in the area of Cesarean scar. The preoperatively assumed endometriosis was histologically confirmed after complete surgical excision. CONCLUSION: Abdominal wall endometriosis is rare. However, it is a possible cause of constant lower abdominal pain, impacting quality of life of the patient.
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Abstrakt Úvod: Endometrióza je definovaná ako prítomnosť funkčného endometriálneho tkaniva, endometriálnych žliazok alebo endometriálnej strómy mimo maternicovú dutinu, čím je indukovaná chronická zápalová odpoveď. Endometrióza brušnej steny je pomerne raritné ochorenie s prevalenciou menej ako 1%. Najčastejšie je lokalizovaná v jazve po cisárskom reze. Hmatná rezistencia v jazve a zvýraznená bolestivosť lézie počas menštruácie sú hlavnými prejavmi ochorenia. Liečbou voľby je chirurgická resekcia s negatívnym resekčným okrajom. Kazuistika: Autori prezentujú dva prípady žien v reprodukčnom veku, ktoré boli vyšetrené pre bolestivosť v jazve po sekcii. Ako príčina ťažkostí bola už predoperačne suponovaná endometrióza, čo bolo definitívne potvrdené histologickým vyšetrením. Záver: U žien v reprodukčnom veku s rezistenciou v pooperačnej jazve je potrebné v rámci diferencionálnej diagnostiky myslieť na možný výskyt endometriózy brušnej steny

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Condition tags

endometriosis

MeSH descriptors

Abdominal Wall Abdominal Wall Endometriosis Endometriosis Endometriosis Endometriosis Cesarean Section Cesarean Section Cicatrix Cicatrix Cicatrix Female Humans Pregnancy Quality of Life

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