Scar Endometriosis at the Site of Cesarean Section

Dah-Ching Ding, Dah‐Ching Ding, Senzen Hsu
Taiwanese journal of obstetrics & gynecology · 2006 · vol. 45(3) , pp. 247–249 · doi:10.1016/s1028-4559(09)60234-5 · PMID:17175473 · W2043397638
article OA: diamond CC0 ⤵ 34 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This paper describes a case of scar endometriosis at a cesarean section site, presenting as a painful nodule during menstruation, and discusses surgical excision as the primary treatment.

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Abstract

OBJECTIVE: Scar endometriosis is a rare condition. We report a case of scar endometriosis occurring at the site of an old cesarean section scar. CASE REPORT: A 29-year-old multiparous woman complained of painful sensation during menstruation for 2 years that occurred at the site of her cesarean section surgical scar. On examination, there was a firm nodule measuring 2 x 1.5 cm in size at the mid-point of the scar. In view of the possibility of scar endometriosis, the mass was completely excised. Pathologic findings were compatible with scar endometriosis. Postoperatively, danazol was prescribed to prevent recurrence. CONCLUSION: A surgical scar becoming painful and swollen during menstruation is the classic symptom of scar endometriosis. Causes include iatrogenic transplantation of endometrium to the surgical wound. Surgical excision is the main treatment. Postoperative GnRH-agonist or danazol may be prescribed to patients with scar endometriosis.

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Condition tags

endometriosis

MeSH descriptors

Cesarean Section Cicatrix Endometriosis Adult Cesarean Section Cicatrix Cicatrix Cicatrix Endometriosis Endometriosis Endometriosis Female Humans

Citation neighborhood

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Cited by (35)

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