Cesarean Section Scar Endometriosis: A Series of Fourteen Patients

LISA LaPINTA SAVAGE, Ainsworth G. Dudley, Bhagirath Majmudar
In: Journal of Gynecologic Surgery · 1991 · vol. 7(4) , pp. 225–232 · doi:10.1089/gyn.1991.7.225 · W2089063988
article OA: closed CC0
View on OpenAlex View at publisher
⚙ AI-generated summary by claude@2026-06, 2026-06-12 ⓘ

This retrospective study analyzed 14 cases of cesarean scar endometriosis, finding typical symptoms of pain and bleeding, and successful treatment via surgical excision.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

Abstract

Endometriomas have been described in various operative scars. Those following cesarean section have been considered rare, with 90 cases previously reported. This study is a retrospective analysis of 14 such cases diagnosed between 1985 and 1990 at Grady Memorial Hospital, Atlanta, Georgia. Fourteen of 16 cases (87.5%) of scar endometriosis followed cesarean section, representing an incidence of 1.9 cases of scar endometriosis per 1000 cesarean sections performed. Historical features included pain, an enlarging mass, bleeding from the incision, and characteristic exacerbation of symptoms with menses. Examination usually showed a discrete, tender mass in or near the incision, with discoloration of the overlying skin. Although certain operative indications, techniques, and complications have been postulated to predispose a patient to developing scar endometriosis, no specific risk factors were identified in our cases. The diagnosis usually was made from the history and physical examination, and excision was the treatment of choice, resulting in a cure rate of 100%. (J GYNECOL SURG 7:225, 1991)

My notes (saved in your browser only)

Condition tags

endometriosis

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (16)

Source provenance

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