ENDOMETRIOSIS

In: The Professional Medical Journal · 2018 · vol. 25(01) , pp. 165–167 · doi:10.29309/tpmj/2018.25.01.556 · W3198251873
article OA: diamond CC0
AI-generated summary by claude@2026-06, 2026-06-08

This case report describes a multiparous woman with cesarean scar pain, found to have scar endometriosis confirmed by histopathology.

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AI-generated deep summary by claude@2026-06, 2026-06-08

This paper reports a case of cesarean section scar endometriosis in a 32-year-old multiparous woman with three prior cesareans who developed progressively painful scar symptoms for three years, with a tender nodule that became more prominent during menstruation. Using clinical examination and imaging, ultrasound showed hypoechoic areas with echogenic shadowing, while MRI was unremarkable; the authors made a clinical diagnosis of scar endometriosis and performed local excision with en bloc dissection. Histopathology confirmed endometrial glands, and the paper discusses the presentation’s pathogenesis, diagnosis, and treatment. This paper is centrally about endometriosis — specifically endometriosis occurring in a cesarean section scar.

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Abstract

A 32 years multiparous lady with history of previous three caesarean sections,presented with pain in the scar for the last three years. Clinical examination revealed a firm andtender nodule under the scar which used to become prominent on menstruation. Ultrasoundshowed hypoechoic areas with echogenic shadowing. MRI was unremarkable. Clinical diagnosisof scar endometriosis was made. Local incision done with enblock dissection. Histopathologyconfirmed the presence of endometrial glands. This is a case report of cesarean section scarendometriosis. The pathogenesis, diagnosis and treatment of this presentation are discussed.

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endometriosis

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