ABDOMINAL WALL SCAR ENDOMETRIOSIS AFTER CESAREAN SECTION; A RARE CASE REPORT WITH MULTI FOCUS

Ayhan ATIGAN, Derya Kılıç, Yeliz Arman Karakaya, Tolga Güler
In: Kocatepe Tıp Dergisi · 2023 · vol. 24(2) , pp. 246–248 · doi:10.18229/kocatepetip.737724 · W4362600310
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This case report details a rare instance of extensive, multifocal scar endometriosis occurring after a cesarean section, highlighting the importance of considering this diagnosis for abdominal wall masses in post-surgical patients.

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

This 2023 paper is a rare multi-focus case report describing abdominal wall scar endometriosis occurring after a cesarean section, detailing the clinical presentation and localization of the lesion in the scar region. The authors present the case and frame it in relation to prior literature on surgical/cesarean scar endometriosis, emphasizing the unusual nature of the condition. The main limitation is that, as a case report, the findings cannot be generalized beyond the described patient. This paper is centrally about endometriosis — specifically abdominal wall scar endometriosis after cesarean section.

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Abstract

Endometriosis is described as the presence of functional endometrial tissue outside the uterine cavity. Scar endometriosis (SE) is a rare condition which usually develops after gynecologic operations involving the uterus and fallopian tubes. The symptoms are usually nonspecific and cyclic incisional pain increasing by menstruation is the most common symptom. Diagnosis of the disease can be difficult and may be confusing with various other post-surgical conditions. Histopathological examination reveals the final diagnosis. This article presents a case with cesarian SE of which the largest reaches 5x4x3 cm with multiple foci. Scar endometriosis should be considered in the differential diagnosis of abdominal wall masses in the patients with a history of abdominal surgery and cyclic painful solid mass.
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References

- 1. Goel P, Sood SS, Romilla, Dalal A. Cesarean scar endometriosis - Report of two cases. Indian J Med Sci. 2005;59(11):495-8. - 2. Brosens I, Benagiano G. Endometriosis, a modern syndrome. The Indian Journal of Medical Research. 2011;133(6):581-93. - 3. Benagiano G, Brosens I. Who identified endometriosis? Fertil Steril. 2011;95:13–6. - 4. Gupta P, Gupta S. Scar Endometriosis: a case report with Literature review. Acta Medica Iranica. 2015;53(12):793–5. - 5. Adriaanse B, Natté R, Hellebrekers B. Scar endometriosis after a caesarean section: a perhaps underestimated complication. Gynecological Surgery. 2013;10(4):279-84. - 6. Mistrangelo M, Gilbo N, Cassoni P, et al. Surgical scar endometriosis. Surg Today. 2014;44: 767-72. - 7. Celik M, Bülbüloglu E, Büyükbese MA, Cetinkaya A. Abdominal Wall Endometrioma: Localizing in Rectus Abdominus Sheath. Turk J Med Sci. 2004;34:341-3. - 8. Sengul I, Sengul D, Kahyaoglu S, Kahyaoglu I. Incisional endometriosis: a report of 3 cases. Can J Surg. 2009;52(5):444-5. Details Primary Language English Subjects Clinical Sciences Journal Section Case Report Authors Ayhan Atıgan * 0000-0002-7257-0593 Türkiye Derya Kılıç 0000-0001-8003-9586 Türkiye Ömer Tolga Güler 0000-0001-6673-8604 Türkiye Publication Date April 5, 2023 Submission Date May 15, 2020 Acceptance Date January 6, 2021 Published in Issue Year 2023 Volume: 24 Number: 2

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endometriosis

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