Cesarean scar endometriosis
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This report describes two cases of endometriosis occurring in cesarean scars, noting the typical late onset of symptoms and recommending surgical excision as the treatment of choice.
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Abstract
A mass located in a scar area during examination is an infrequent phenomenon. Such a mass can be associated with keloid, hematoma, granuloma, hernia or neoplasm. Two cases of scar endometriosis are reported. The late onset of symptoms after surgery (average 4.5 years) is the usual reason for misdiagnosis. Awareness of this infrequent and late postoperative complication would increase the detection rate. Surgical excision remains the treatment of choice and should be accomplished without complications.
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Cited by (26)
- Not Just a Bleeding Scar: The Mystery of Cesarean Scar Endometriosis 2025
- POST-CESAREAN SCAR ENDOMETRIOSIS WITHOUT A PALPABLE MASS: A DIAGNOSTIC CHALLENGE WITH AN AYURVEDA PERSPECTIVE - A CASE RE-PORT. 2025
- Abdominal wall endometriosis in cesarean scar: A case report 2024
- A case of scar endometriosis in cesarean scar 2022
- Endometriosis through an immunological lens: a pathophysiology based in immune dysregulation 2022
- Scar endometriosis: Does the medical treatment with LHRH analogue have an effect on its symptomatology and lesions sizes? 2019
- Scar endometriosis with rudimentary horn: An unusual and elucidative report of a case diagnosed on histopathology and immunohistochemistry 2017
- Scar Endometriosis Invading the Rectus Sheath Misdiagnosed as Incisional Hernia 2016
- Scar Endometriosis: A Rare Cause of Pain at Cesarean Scar 2015
- Abdominal Wall Endometriosis as Endometrioma-Cutaneous Fistula: A Case Report 2014
- Scar endometriosis: A rare skin lesion presenting to the plastic surgeon 2013
- Recommending Different Treatments as Preventive Measures against Incisional Endometrioma. 2013
- Extrapelvic Endometriosis: A Study of 17 Cases 2012
- Scar endometriosis: A case report and review of the literature 2010
- Scar Endometriosis – a Rare Cause for a Painful Scar: A Case Report and Review of the Literature 2010
- Scar Endometriosis - A Rare Disease Occurrence 2009
- Incisional endometriosis: a report of 3 cases. 2009
- Abdominal wall endometriosis: a surgeon's perspective and review of 445 cases 2008
- Risk factors for abdominal scar endometriosis after obstetric hysterotomies: a case–control study 2007
- Endometriosis of the abdominal wall. 2007
- Scar Endometriosis at the Site of Cesarean Section 2006
- Scar endometriosis—a gynaecologic pathology often presented to the general surgeon rather than the gynaecologist: report of two cases 2006
- Endometriotic Uterocutaneous Fistula after Cesarean Section 2003
- Endometriosis umbilical con estudio de receptores hormonales 2003
- Cystadenocarcinoma of the abdominal wall following caesarean section: case report and review of the literature 2003
- Incisional endometriosis: an underappreciated diagnosis in general surgery1 2000
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- europepmc
- last seen: 2026-06-04T01:30:01.192114+00:00
- openalex
- last seen: 2026-06-04T00:00:01.174412+00:00
- pubmed
- last seen: 2026-05-13T22:11:24.284338+00:00
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