Scar endometriosis: not a rarity now a day

Mishu Mangla, Ruchira Nautiyal, Deepmala Deepmala, Jashan Chhatwal
In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology · 2018 · vol. 7(4) , pp. 1641 · doi:10.18203/2320-1770.ijrcog20181371 · W2795190506
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⚙ AI-generated summary by claude@2026-06, 2026-06-11 ⓘ

Scar endometriosis, often linked to increased cesarean sections, presents with cyclical pain and discharge at incision sites, sometimes requiring surgical excision for diagnosis.

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This paper discusses scar endometriosis, focusing on cases occurring at sites of prior surgical scars, which the authors state are rising in frequency alongside increased cesarean sections. Using a single case described in detail, they report greenish discharge from a lesion located below the primary scar site occurring 5 years after the primary surgery, noting that typical presentation may include an underlying mass and cyclical incision-site pain with or without discharge, but that atypical cases may only be diagnosed after surgical excision. The authors aim to discuss the etiology, management, and preventive measures for scar endometriosis, without presenting a larger systematic cohort. This paper is centrally about endometriosis — it specifically reports a case of scar endometriosis following cesarean section and discusses its clinical features and implications.

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Abstract

Endometriosis at the site of previous surgery scar is much on the rise now-a-days mainly due to increased rate of caesarean sections. Generally, it presents as a triad of underlying mass at the incision site, cyclical menstrual scar pain with or without discharge from scar site, and history of previous gynecological or obstetric surgery leads to the preoperative diagnosis. In rare cases, the clinical presentation is atypical, and diagnosis is mad after surgical excision. Here we discuss a case of scar endometriosis that presented to us with complaint of greenish coloured discharge from a lesion below the primary scar site 5 years after the primary surgery. Through this article, authors wish to discuss the etiology, management and preventive measures for scar endometriosis.
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Scar endometriosis: not a rarity now a day DOI: https://doi.org/10.18203/2320-1770.ijrcog20181371Keywords: Endometriosis, Previous cesarean, ScarAbstract Endometriosis at the site of previous surgery scar is much on the rise now-a-days mainly due to increased rate of caesarean sections. Generally, it presents as a triad of underlying mass at the incision site, cyclical menstrual scar pain with or without discharge from scar site, and history of previous gynecological or obstetric surgery leads to the preoperative diagnosis. In rare cases, the clinical presentation is atypical, and diagnosis is mad after surgical excision. Here we discuss a case of scar endometriosis that presented to us with complaint of greenish coloured discharge from a lesion below the primary scar site 5 years after the primary surgery. Through this article, authors wish to discuss the etiology, management and preventive measures for scar endometriosis. Metrics References Pikoulis E, Karavokiros J, Veltsista K, Diamantis T, Griniatsos J, Basios N, et al. Abdominal scar endometriosis after caesarean section: report of five cases. West Indian Med J. 2011;60(3):351-3. Ozel L, Sagiroglu J, Unal A, Unal E, Gunes P, Baskent E, et al. Abdominal wall endometriosis in the cesarean section surgical scar: a potential diagnostic pitfall. J Obstet Gynaecol Res. 2012;38:526e30. Sengul I, Sengul D, Kahyaoglu S, Kahyaoglu I. Incisional endometriosis: a report of 3 cases. Can J Surg. 2009;52:444e5. Wasfie T, Gomez E, Seon S, Zado B. Abdominal wall endometrioma after cesarean section: a preventable complication. Int Surg. 2002;87:175-7. Celik M, Bülbüloglu E, Büyükbese MA, Cetinkaya A. Abdominal Wall Endometrioma: Localizing in Rectus Abdominus Sheath. Turk J Med Sci. 2004;34:341-3. Esquivel-Estrada V, Briones-Garduno JC, Mondragon- Ballesteros R. Endometriosis implant in cesarean section surgical scar. Cir Cir. 2004;72:113-5. Gupta P, Gupta S. Scar Endometriosis: a Case Report with Literature Review. Acta Med Iran. 2015;53(12):793-5. Sharma M, Nautiyal R, Chaturvedi J, Bhargava S. Scar endometriosis following caesarean section: a rare case report. Int J Reprod Contracept Obstet Gynecol. 2015;4:884-6. Francica G, Giardiello C, Angelone G, Cristiano S, Finelli R, Tramontano G. Abdominal wall endometriomas near cesarean delivery scars: sonographic and color Doppler findings in a series of 12 patients. J Ultrasound Med. 2003;22:1041-7. Amato M, Levitt R. Abdominal wall endometrioma: CT findings. J Comput Assist Tomogr. 1984;8:1213-4. Gupta RK, Naran S. Aspiration cytodiagnosis of endometriosis in an abdominal scar after cesarean section. Acta Cytol. 1995;39:603-4. Horton JD, Dezee KJ, Ahnfeldt EP, Wagner M. Abdominal wall endometriosis: a surgeon’s perspective and review of 445 cases. Am J Surg. 2008;196:207-12. Bozkurt M, Cil AS, Kara D. Intramuscular Abdominal Wall Endometriosis Treated By Ultrasound-Guided Ethanol Injection. Clin Med Res. 2014;15. Chatterjee SK. Scar endometriosis: a clinicopathologic study of 17 cases. Obstet Gynecol. 1980;56:81-4. Wasfie T, Gomez E, Seon S, Zado B. Abdominal wall endometrioma after cesarean section: a preventable complication. Int Surg. 2002;87:175-7. Teng CC, Yang HM, Chen KF, Yang CJ, Chen LS, Kuo CL. Abdominal wall endometriosis: an overlooked but possibly preventable complication. Taiwan J Obstet Gynecol. 2008;47(1):42-8.

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