Scar Endometriosis: Case Report with Literature Review

Paridhi Gupta, S. K. Gupta
In: Nepal Journal of Obstetrics and Gynaecology · 2014 · vol. 9(2) , pp. 55–57 · doi:10.3126/njog.v9i2.11764 · W2149406797
article OA: diamond CC0 ⤵ 26 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This case report describes scar endometriosis in a rectus sheath following cesarean section, highlighting its rarity, diagnostic challenges, and management through surgical excision.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 · read from full text ⓘ

This case report with literature review describes a rare instance of scar endometriosis in the rectus sheath after a cesarean section, where endometrial tissue was found within a prior surgical scar. The authors discuss the condition’s definition, typical background of obstetrical or gynecological surgery, and the challenges of diagnosis because scar endometriosis can be confused with other surgical problems. They report that the patient underwent wide surgical excision of the lesion, and the paper reviews aspects of pathogenesis, diagnosis, and treatment while emphasizing rarity and diagnostic difficulty as key limitations of single-case evidence. This paper is centrally about endometriosis—specifically scar endometriosis arising in a post-cesarean rectus sheath.

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Abstract

Endometriosis is defined as presence of functioning endometrial tissue outside the uterine cavity. Endometriosis can sometimes occur in a previous surgical scar. Scar endometriosis is rare and difficult to diagnose. It mostly follows obstetrical and gynecological surgeries. This condition is often confused with other surgical conditions. We are reporting one case of scar endometriosis involving rectus sheath following cesarean section. The patient required wide surgical excision of the lesion. The pathogenesis, diagnosis and treatment of this rare condition are being discussed. DOI: http://dx.doi.org/10.3126/njog.v9i2.11764
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Scar Endometriosis: Case Report with Literature Review Keywords: abdominal wall, endometrioma, endometriosis, scar endometriosisAbstract Endometriosis is defined as presence of functioning endometrial tissue outside the uterine cavity. Endometriosis can sometimes occur in a previous surgical scar. Scar endometriosis is rare and difficult to diagnose. It mostly follows obstetrical and gynecological surgeries. This condition is often confused with other surgical conditions. We are reporting one case of scar endometriosis involving rectus sheath following cesarean section. The patient required wide surgical excision of the lesion. The pathogenesis, diagnosis and treatment of this rare condition are being discussed. DOI: http://dx.doi.org/10.3126/njog.v9i2.11764Downloads Downloads Published How to Cite Issue Section License Copyright on any research article in the Nepal Journal of Obstetrics and Gynaecology is retained by the author(s). The authors grant the Nepal Journal of Obstetrics and Gynaecology a license to publish the article and identify itself as the original publisher. Articles in the Nepal Journal of Obstetrics and Gynaecology are Open Access articles published under the Creative Commons CC BY-NC License (https://creativecommons.org/licenses/by-nc/4.0/) This license permits use, distribution and reproduction in any medium, provided the original work is properly cited, and it is not used for commercial purposes.

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endometriosis

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