Endomeriosis of Cesarean Section Why on Leet side?

A. Abbud
In: AL-Kindy College Medical Journal · 2020 · vol. 15(2) , pp. 45–49 · doi:10.47723/kcmj.v15i2.160 · W3110782466
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-07 ⓘ

This study of 65 patients found that scar endometriosis, a condition of ectopic endometrial tissue, most commonly occurred on the left side of cesarean section scars.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text ⓘ

The paper describes a retrospective case series of 65 women treated surgically for endometriosis localized to a cesarean scar at Al-Kindi Teaching Hospital and a private hospital between January 2013 and December 2017. The key finding was a lateral asymmetry in scar mass location, with 52 cases on the left side of the scar, 10 in the midline, and 3 on the right, and the authors emphasize cyclical pain plus cesarean scar plus a mass (noting the mass is mostly left-sided) as part of the diagnostic triad. The main limitation is that the study report does not provide diagnostic or comparative methods beyond surgical treatment/excision and does not explain why laterality might differ. This paper is centrally about endometriosis — specifically cesarean-scar endometriosis with reported left-sided predominance in the scar mass location.

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Abstract

Background: Endometriosis is defined as the presence or growth of ectopic endometrial tissue outside their usual site ( the uterus). It is a common condition in women. It may occur in the ovaries, fallopian tubes, vagina and rarely, endometriosis may occur in the abdomen and lungs. Endometriosis is common among women of reproductive age. It is either primary or secondary. The triad of diagnosis is a pain with menstruation, cesarean scar and a mass in the scar. Methods: A report a series of 65 patients in the period from 1st Jan 2013 to 31st Dec 2017. The study was performed in Al-Kindi Teaching Hospital and a private hospital. The mean age was 35 years (range 20-45).All patients were treated surgically i.e. excision of the tumor and old surgical scar in the lower abdomen. Result: mean age was 35 years (range 20-45). Thirty patients (46.15%) were housewives while 35(53.84%) were officers. The interesting finding is that 52 patients had the mass in the left side, 10 in the middle and only 3 in the right side of the scar respectively. Conclusion: Our study demonstrated a lateral asymmetry in the location of scar endometriosis i.e. mostly on the left side. The prevalence on left side of scar can be added to the triad of diagnosis mentioned above I.e. cyclical pain, cesarean scar and mass mostly in left side of the scar.
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Background

Endometriosis is defined as the presence or growth of ectopic endometrial tissue outside their usual site ( the uterus). It is a common condition in women. It may occur in the ovaries, fallopian tubes, vagina and rarely, endometriosis may occur in the abdomen and lungs. Endometriosis is common among women of reproductive age. It is either primary or secondary. The triad of diagnosis is a pain with menstruation, cesarean scar and a mass in the scar. Methods: A report a series of 65 patients in the period from 1st Jan 2013 to 31st Dec 2017. The study was performed in Al-Kindi Teaching Hospital and a private hospital. The mean age was 35 years (range 20-45).All patients were treated surgically i.e. excision of the tumor and old surgical scar in the lower abdomen.

Result

mean age was 35 years (range 20-45). Thirty patients (46.15%) were housewives while 35(53.84%) were officers. The interesting finding is that 52 patients had the mass in the left side, 10 in the middle and only 3 in the right side of the scar respectively.

Conclusion

Our study demonstrated a lateral asymmetry in the location of scar endometriosis i.e. mostly on the left side. The prevalence on left side of scar can be added to the triad of diagnosis mentioned above I.e. cyclical pain, cesarean scar and mass mostly in left side of the scar.

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Condition tags

endometriosis

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