Scar endometriosis at the site of cesarean section
Case report
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⤵ 34 in-corpus citations
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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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Cited by (35)
- Giant Cesarean Section Scar Endometriosis Presenting with Cyclic Pain: A Neglected Clinical Manifestation-A Case Report 2026
- Not Just a Bleeding Scar: The Mystery of Cesarean Scar Endometriosis 2025
- ABDOMINAL WALL SCAR ENDOMETRIOSIS AFTER CESAREAN SECTION; A RARE CASE REPORT WITH MULTI FOCUS 2023
- Recurrent Scar Endometriosis - A Rare Case Presentation 2023
- Abdominal scar endometriosis-a dilemma in diagnosis 2023
- Case controlled study for determination of risk factors in abdominal wall endometriosis following a cesarean section 2022
- Endometriosis through an immunological lens: a pathophysiology based in immune dysregulation 2022
- Scar endometriosis: an uncommon surgical aftermath 2022
- Scar endometriosis-rare and painful entity: a case report 2021
- Caesarean scar endometriosis 2021
- An increasing trend of iatrogenic scar endometriosis after lower segment cesarean section 2020
- Serum Leptin as a Marker for Severity of Endometriosis 2020
- Cesarean scar endometrioma: A rare case report with literature review 2019
- Scar Endometriosis: A Case Report and Review of Literature 2019
- Parietal Endometriosis: A Challenge for the General Surgeon 2018
- Menstruation from the pfannenstial scar: A case of rare presentation of atypical endometriosis 2018
- Perineal scar endometriosis 2018
- Catamenial Rectus Abdominis Pain Associated with Scar Endometriosis Status-post Low Transverse Cesarean Section 2018
- Fine-needle aspiration cytology of a cesarean scar endometriosis 2017
- Scar Endometriosis Invading the Rectus Sheath Misdiagnosed as Incisional Hernia 2016
- Scar endometriosis: A series of 3 cases 2016
- Scar Endometriosis: A Rare Cause of Pain at Cesarean Scar 2015
- SCAR ENDOMETRIOSIS: CASE REPORT 2014
- Caesarean section scar endometriosis: a case report and review of literature 2014
- A rare case of Endometriosis in vaginal hysterectomy scar 2013
- Scar endometriosis: a rare skin lesion presenting to the plastic surgeon 2013
- Endometriose de ferida cirúrgica 2013
- Scar Endometrioma Following Cesarian Section: Case Report 2012
- Endometrial Tumors in Postoperative Scars-Pathogenesis, Diagnostics and Treatment 2012
- Scar endometriosis - a rare cause for a painful scar: 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 endometrioma following obstetric surgical incisions: retrospective study on 33 cases and review of the literature 2009
- Abdominal wall endometriosis: an overlooked but possibly preventable complication 2008
- Gallbladder endometriosis as a cause of occult bleeding 2007
- Recurrent Scar Endometriosis in A Young Lady of 23 Years 1970
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- europepmc
- last seen: 2026-10-11T09:27:45.537177+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-10-08T21:04:12.251519+00:00
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