Caesarean Scar Endometriosis

Nesuma Sedhain, Ganesh Dangal, Aruna Karki, Hema K Pradhan, Hema Kumari Pradhan, Ranjana Shrestha, Kabin Bhattachan, Rekha Poudel, Nishma Bajracharya
Journal of Nepal Health Research Council · 2018 · vol. 15(3) , pp. 292–294 · doi:10.3126/jnhrc.v15i3.18859 · PMID:29353906 · W2781501147
article OA: diamond CC0 ⤵ 15 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This case report describes abdominal wall scar endometriosis diagnosed by surgical excision in a woman four years after a cesarean section, discussing its pathogenesis, diagnosis, and treatment.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text ⓘ

This paper describes scar endometriosis, a rare form of endometriosis that occurs in abdominal wall scars following obstetrical or gynecological surgeries and is typically hard to diagnose before removal. It reports a case of abdominal wall scar endometriosis in a woman who had a cesarean section four years earlier, with symptoms involving incision-site abdominal wall pain around menstruation and a tender palpable mass, and where diagnosis was confirmed after surgical excision and histological analysis. The paper discusses the condition’s pathogenesis, diagnosis, and treatment in the context of this case, while noting that non-specific symptoms and reliance on histology are key limitations to preoperative recognition. This paper is centrally about endometriosis—specifically cesarean scar (abdominal wall) endometriosis.

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Abstract

Endometriosis is a common benign gynecologic disorder defined as the presence of endometrial glands and stroma outside of the normal location. The overall prevalence is 8-15% in women of reproductive age group. Scar endometriosis is a rare disease, and is difficult to diagnose. It is commonly seen following obstetrical and gynecological surgeries. The symptoms are non-specific, typically involving abdominal wall pain at the incision site at the time of menstruation and palpable tender mass in the incision site. The diagnosis is frequently made only after excision of the diseased tissue and its histological analysis. We present here a case of abdominal wall scar endometriosis in a woman who had undergone a caesarean section four years ago. Surgical excision led to the diagnosis of scar endometriosis. The pathogenesis, diagnosis and treatment of this rare condition are discussed.
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Abstract

Endometriosis is a common benign gynecologic disorder defined as the presence of endometrial glands and stroma outside of the normal location. The overall prevalence is 8–15% in women of reproductive age group. Scar endometriosis is a rare disease, and is difficult to diagnose. It is commonly seen following obstetrical and gynecological surgeries. The symptoms are non-specific, typically involving abdominal wall pain at the incision site at the time of menstruation and palpable tender mass in the incision site. The diagnosis is frequently made only after excision of the diseased tissue and its histological analysis. We present here a case of abdominal wall scar endometriosis in a woman who had undergone a caesarean section four years ago. Surgical excision led to the diagnosis of scar endometriosis. The pathogenesis, diagnosis and treatment of this rare condition are discussed.

Keywords

Abdominal wall; caesarean section; painful scar; scar endometriosis. Downloads Downloads Published How to Cite Issue Section License Submission of the manuscript means that the authors agree to assign exclusive copyright to JNHRC. The aim of JNHRC is to increase the visibility and ease of use of open access scientific and scholarly articles thereby promoting their increased usage and impact. Hence, JNHRC grants permission to read, download, copy, distribute, print, search, or link to the full texts of these articles which is available online (http://jnhrc.com.np) freely. The articles in this journal are licensed under a Creative Commons Attribution 4.0 International License.

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Condition tags

endometriosis

MeSH descriptors

Cesarean Section Cicatrix Endometriosis Adult Cesarean Section Cicatrix Cicatrix Cicatrix Endometriosis Endometriosis Endometriosis Female Humans Nepal

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 (6)

Cited by (15)

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