Abdominal Wall Endometriosis: A Case Report

In: SAS Journal of Surgery · 2025 · vol. 11(06) , pp. 738–740 · doi:10.36347/sasjs.2025.v11i06.016 · W4411827698
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This case report details a 34-year-old patient with scar endometrioma following two cesarean deliveries, highlighting its rarity and cyclic pain presentation after abdominal surgery.

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This case report describes a 34-year-old woman presenting with cyclic pain and a mass in her abdominal wall, diagnosed as scar endometrioma following two prior cesarean sections. The authors highlight that while the incidence of this condition is low, ranging from 0.03% to 1% in women with previous cesarean deliveries, diagnostic delays are common due to symptom overlap with other pathologies. The paper emphasizes the importance of recognizing this rare manifestation of extra-pelvic disease to ensure timely surgical intervention and proper management. This paper is centrally about endometriosis — specifically the abdominal wall variant known as scar endometrioma.

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Abstract

Abdominal wall endometriosis, also referred to as scar endometrioma, is a infrequent condition, in most cases developing following previous cesarean section or pelvic surgery. The incidence of scar endometrioma is approximated at 0.03%-1% of all women with previous cesarean delivery. The predominant clinical picture is cyclic pain. Because of a variety of similar conditions and a relative rarity, a considerable delay is frequently noted from the onset of symptoms to proper treatment. We present a case of a 34-year-old patient with scar endometrioma after two previous cesarean deliveries.
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An International Publisher for Academic and Scientific Journals Author Login SAS Journal of Surgery | Volume-11 | Issue-06 Abdominal Wall Endometriosis: A Case Report Yassine Fakhri, Dounya Douah, Ayoub Madani, Mohammed Ouazni, Mehdi Soufi Published: June 21, 2025 | 399 385 Pages: 738-740 Downloads Abstract Abdominal wall endometriosis, also referred to as scar endometrioma, is a infrequent condition, in most cases developing following previous cesarean section or pelvic surgery. The incidence of scar endometrioma is approximated at 0.03%-1% of all women with previous cesarean delivery. The predominant clinical picture is cyclic pain. Because of a variety of similar conditions and a relative rarity, a considerable delay is frequently noted from the onset of symptoms to proper treatment. We present a case of a 34-year-old patient with scar endometrioma after two previous cesarean deliveries.

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endometriosisendometrioma

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last seen: 2026-06-10T17:14:06.276822+00:00
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