Scar endometriosis: a rare complication of cesarean section

Sugandha Goel, Bina Goel, Aakanksha Tiwari, Maitri Modh
In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology · 2025 · vol. 15(1) , pp. 364–366 · doi:10.18203/2320-1770.ijrcog20254315 · W7117627440
article OA: diamond CC0
🔓 Open OA copy Full text JSON View on OpenAlex View at publisher
⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-08 ⓘ

This case report describes a 34-year-old woman diagnosed with scar endometriosis at her cesarean section site, which was successfully treated with surgical excision.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

⚙ AI-generated deep summary by claude@2026-06, 2026-06-08 · read from full text ⓘ

This paper reports a case of scar (incisional) endometriosis in a 34-year-old woman who developed pain and swelling at a prior low transverse cesarean section (LSCS) scar over 1 year. Using imaging that showed a hypoechoic lesion suggestive of endometriosis, the authors performed wide local surgical excision, and histopathology confirmed the diagnosis, with postoperative follow-up documenting complete symptom resolution and no recurrence at follow-up. The main limitation is that this is a single case report, so the findings cannot establish incidence, predictors, or outcomes beyond this individual. This paper is centrally about endometriosis — specifically scar/incisional endometriosis occurring after cesarean section.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Abstract

Scar endometriosis, also known as incisional endometriosis, is a rare condition characterized by the presence of functional endometrial tissue in surgical scars, most commonly after cesarean sections or gynecological procedures. We report a case of 34-year-old woman (P2L2) presented with a pain and swelling in the previous LSCS abdominal scar since 1year. Imaging revealed a hypoechoic lesion suggestive of endometriosis. Surgical excision was performed, and histopathology confirmed the diagnosis. Postoperative follow-up indicated complete symptom resolution and no recurrence on follow up. Wide local surgical excision is the definitive treatment for permanent cure.
Full text 1,896 characters · extracted from oa-doi-fallback · click to expand
Scar endometriosis: a rare complication of cesarean section DOI: https://doi.org/10.18203/2320-1770.ijrcog20254315Keywords: Scar endometriosis, Incisional endometriosis, Cesarean section, Cyclical pain, Surgical excisionAbstract Scar endometriosis, also known as incisional endometriosis, is a rare condition characterized by the presence of functional endometrial tissue in surgical scars, most commonly after cesarean sections or gynecological procedures. We report a case of 34-year-old woman (P2L2) presented with a pain and swelling in the previous LSCS abdominal scar since 1year. Imaging revealed a hypoechoic lesion suggestive of endometriosis. Surgical excision was performed, and histopathology confirmed the diagnosis. Postoperative follow-up indicated complete symptom resolution and no recurrence on follow up. Wide local surgical excision is the definitive treatment for permanent cure. Metrics References Agarwal A, Fong YFY. Cutaneous endometriosis. Singapore Med J. 2008;49(9):704-9. Nominato NS, Prates LFVS, Lauar I, Morais J, Maia L, Geber S. Caesarean section greatly increases risk of scar endometriosis. Eur J Obstetrics Gynecol Reproductive Biol. 2010;152:83–5. DOI: https://doi.org/10.1016/j.ejogrb.2010.05.001 Horton JD, Dezee KJ, Ahnfeldt EP, Wagner M. Abdominal wall endometriosis: a surgeon's perspective and review of 445 cases. Am J Surg. 2008;196(1):75-78. Nirula R, Greaney GC. Incisional Endometriosis: AnUnderappreciated Diagnosis in General Surgery. J Am CollSurg. 2000;190(4):404-7. DOI: https://doi.org/10.1016/S1072-7515(99)00286-0 Horton JD, Dezee KJ, Ahnfeldt EP, Wagner M. Abdominal wall endometriosis: a surgeon’s perspective and review of 445 cases. Am J Surg. 2008;196:207–12. DOI: https://doi.org/10.1016/j.amjsurg.2007.07.035 Sengul I, Sengul D, Kahyaoglu S, Kahyaoglu I. Incisional endometriosis: a report of 3 cases. Can J Surg. 2009; 52(5):444–5.

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

⚙ Ask this paper AI returns verbatim quotes from the full text · source: oa-doi-fallback ⓘ

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Condition tags

endometriosis

Citation neighborhood (sparse)

Too few in-corpus citations on either side for a chart; here are the lists.

Cites (3)

References (3)

Source provenance

openalex
last seen: 2026-06-10T17:14:06.276822+00:00
License: CC0 · commercial use OK