Post caesarean scar endometriosis: reporting three cases

Ruchi N. Thakur, Pradip W. Sambarey, Desai Katha
In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology · 2017 · vol. 6(3) , pp. 1125 · doi:10.18203/2320-1770.ijrcog20170533 · W2587181483
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-12 ⓘ

This paper reports three cases of post-cesarean scar endometriosis, a condition diagnosed by cyclical scar pain or bleeding and treated with surgical excision.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-12 · read from full text ⓘ

This paper reports three clinical cases of post–caesarean scar endometriosis managed at a single institute, focusing on diagnostic presentation after prior surgery. Across the cases, the authors describe scar-related complaints such as pain, an enlarging mass, and/or bleeding that are cyclically associated with the menstrual cycle, which they state is almost pathognomonic and require a high index of suspicion given that scar endometriosis is underdiagnosed. The paper indicates that surgical excision was used as the treatment of choice, but it does not provide detailed comparative methods beyond case reporting. This paper is centrally about endometriosis — specifically post–caesarean scar endometriosis presenting as a surgically related abdominal wall lesion.

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Abstract

Scar endometriosis remains under diagnosed entity. A high index of suspicion is required for correct diagnosis. Complaints of pain, increase in size or bleeding from a mass post operatively that is cyclically associated with menstrual cycle is almost pathognomonic. Surgical excision remains the treatment of choice. We report three cases treated in our institute.
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Post caesarean scar endometriosis: reporting three cases DOI: https://doi.org/10.18203/2320-1770.ijrcog20170533Keywords: Caesarean section, Endometriosis, ScarAbstract Scar endometriosis remains under diagnosed entity. A high index of suspicion is required for correct diagnosis. Complaints of pain, increase in size or bleeding from a mass post operatively that is cyclically associated with menstrual cycle is almost pathognomonic. Surgical excision remains the treatment of choice. We report three cases treated in our institute. Metrics References Bergqvist A. Different types of extragenital endometriosis: A review. Gynaecol Endocrinol. 1993;7:207-21. Gunes M, Kayikcioglu F, Ozturkoglu E, Haberal A. Incisional endometriosis after caesarean section, episiotomy and other gynaecological procedures. J Obstet Gynaecol Res. 2005;31:471-5. Nominato NS, Prates LF, Lauar I, Morais J, Geber S Caesarean section greatly increases risk of scar endometriosis. Eur J Obstet Gynaecol. 2010;152:83-5. Suginami H. A reappraisal of the coelomic metaplasia theory by reviewing endometriosis occurring in unusual sites and instances. Am J Obstet Gynecol. 1991;165:214-8. Ueki M. Histological study of endometriosis and examination of lymphatic drainage in and from the uterus. Am J Obstet Gynecol. 1991;165:201-9. Blanco RG, Parithivel VS, Shah AK, Gumbs MA, Schein M, Gerst PH. Abdominal wall endometriosis Am J Surg. 2003;185(6):596-8. Nirula R, Greaney GC. Incisional endometriosis: An underappreciated diagnosis in general surgery. J Am Coll Surg. 2000;190:404-407. Bektas H, Bilsel Y, Sari YS. Abdominal wall endometrioma: A10-yearexperienceandbreif review of literature. J Surg Res. 2010;164:77-81. Rivlin ME, Das SK, Patel RB, Meeks GR. Leuprolide acetate in the management of caesarean scar endometriosis. Obstet Gynecol. 1995;85:838-839.

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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.

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