Abdominal Scar Endometriosis

Ajit Gopal Samal, Samal AG, Prativa Kumari Behera, Pandita Sahoo, Sahoo P
The Indian journal of surgery · 2012 · vol. 75(S1) , pp. 217–219 · doi:10.1007/s12262-012-0567-8 · PMID:24426570 · PMC3693315 · W2008623091
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-09 ⓘ

This case report details a 32-year-old woman with abdominal scar endometriosis, presenting as a painful blue lesion over her scar, confirmed by histopathology.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 · read from full text ⓘ

This paper reports a very rare case of abdominal scar endometriosis in a 32-year-old woman who had intermittent dull aching pain over an abdominal scar for five years and a blue lesion over the scar for seven months. The lump was excised on the clinical diagnosis of a vascular malformation, and histopathology identified decidual change in scar tissue consistent with abdominal scar endometriosis. The authors note that abdominal scar endometriosis should be considered when a childbearing-age woman presents with a painful abdominal wall lump and a history of obstetric or gynecological procedures. This paper is centrally about endometriosis — specifically abdominal scar endometriosis occurring in a post-procedure obstetric/gynecologic context.

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Abstract

Abdominal scar endometriosis is very rare. We report a case of abdominal scar endometriosis in a 32-year-old woman presented with a blue lesion over the abdominal scar for 7 months. She had history of intermittent dull aching pain over the scar for 5 years. Excision of the lump was done with the clinical diagnosis of vascular malformation over the scar. The specimen was sent for histopathological examination. The histopathological report revealed decidual change in the scar tissue suggesting abdominal scar endometriosis. Abdominal scar endometriosis should be kept in mind while dealing a case of the painful lump over the abdominal scar in any woman of childbearing age having a history of obstetric or gynecological procedure.
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Abstract

Abdominal scar endometriosis is very rare. We report a case of abdominal scar endometriosis in a 32-year-old woman presented with a blue lesion over the abdominal scar for 7 months. She had history of intermittent dull aching pain over the scar for 5 years. Excision of the lump was done with the clinical diagnosis of vascular malformation over the scar. The specimen was sent for histopathological examination. The histopathological report revealed decidual change in the scar tissue suggesting abdominal scar endometriosis. Abdominal scar endometriosis should be kept in mind while dealing a case of the painful lump over the abdominal scar in any woman of childbearing age having a history of obstetric or gynecological procedure.

References

Antonelli A, Simeone C, Zani D, Sacconi T, Minini G et al (2006) Clinical aspects and surgical treatment of urinary tract endometriosis. Our experience with 31 cases. Eur Urol 49:1093–1097 Olive DL, Schwartz LB (1993) Endometriosis. N Engl J Med 328:1759–1769 Clement PB (1990) Pathology of endometriosis. Pathol Annu 25:245–295 Honore GM (1999) Extra pelvic endometriosis. Clin Obstet Gynecol 42:699–711 Van Gorp T, Amant F, Neven P, Vergote I (2004) Endometriosis and the development of malignant tumours of the pelvis: A review of literature. Best Pract Clin Obstet Gynecol 18:349–371 Villalta J, Custarday AL, Carrasquev JA, Pujala M, Gambo P (2006) Endometriosis in a laprotomic scar after cesarean section: report of two cases. Cir Esp 79(5):313–315 Seli E, Berkkanoglu M, Arichi A (2003) Pathogenesis of endometriosis. Obstet Gynecol Clin North Am 30:40–61 Wicherek L, Dutsch-Wicherec M, Galazka K, Banas T, Popeila T, Lazar A, Kleinrok-Podsindlo B (2006) Comparision of RCASI and metallothionein expression and the presence and activity of immune cells in human ovarian and abdominal wall endometriomas. Reprod Biol Endocrinol 4:41 Alberto VO, Lynch M, Labbei FN, Jeffers M (2006) Primary abdominal wall clear cell carcinoma arising in caesarean section scar endometriosis. Ir J Med Sci 175:69–71 Funding/support/source Super Speciality Hospital, Civil Township, Rourkela, Orissa. Presentation details Not presented anywhere. Author information Authors and Affiliations Corresponding author Rights and permissions About this article Cite this article Samal, A.G., Behera, P.K. & Sahoo, P. Abdominal Scar Endometriosis. Indian J Surg 75 (Suppl 1), 217–219 (2013). https://doi.org/10.1007/s12262-012-0567-8 Received: Accepted: Published: Issue date: DOI: https://doi.org/10.1007/s12262-012-0567-8

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