Abdominal wall endometriosis after a caesarian section - an interesting case report

A Chatziparadeisi, Aris Daniilidis, Stavros Diavatis, Nikolaos Vrachnis, F. Carcea, C Giannoulis
In: Clinical and Experimental Obstetrics & Gynecology · 2014 · vol. 41(3) , pp. 360–361 · doi:10.12891/ceog16642014 · W2409438844
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⚙ AI-generated summary by claude@2026-06, 2026-06-10 ⓘ

This case report details a 33-year-old woman with a subcutaneous mass in her abdominal wall scar after a cesarean section, highlighting surgical excision as the treatment of choice.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 · read from full text ⓘ

This paper is a case report describing abdominal wall endometriosis arising at a cesarean section incision. A 33-year-old woman developed progressively worsening right groin pain that intensified during menstruation, and ultrasound identified a 3.5 × 2.4 × 2 cm subcutaneous mass under the edge of a Pfannenstiel scar; the mass was removed en bloc. The authors discuss a proposed mechanism of iatrogenic spread of endometrial material and note that symptom onset can occur one to five years after surgery, diagnosis may be challenging due to atypical presentation, and symptoms exacerbate during menstruation in only about 20% of cases. This paper is centrally about endometriosis — it reports and characterizes abdominal wall endometriosis following a cesarean section scar.

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Abstract

Background: Endometriotic foci can be rarely found on the surgical incision following caesarean delivery and on perineotomy site following vaginal delivery. Case: A 33-year-old woman with a history of caesarian section five years prior was admitted to the present clinic due to right groin pain with increasing intensity during menstruation. Ultrasound revealed an endometrioma-like subcutaneous mass directly under the right edge of the Pfannenstiel scar. The mass (3.5 × 2.4 × 2 cm) was removed en bloc with ultrascissor. Conclusion: The prevailing argument supports that it is a complication caused by the iatrogenic dispersal of endometrial material. Symptoms onset vary from one to five years postoperatively and mainly include pain and enlargement of the mass during menstruation. Diagnosis may be demanding due to the atypical presentation of the disease. Symptoms exacerbate during menstruation in only 20% of all cases. Abdominal ultrasound is extremely useful for diagnosis. The treatment of choice is surgical excision.
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Abstract

Background: Endometriotic foci can be rarely found on the surgical incision following caesarean delivery and on perineotomy site following vaginal delivery. Case: A 33-year-old woman with a history of caesarian section five years prior was admitted to the present clinic due to right groin pain with increasing intensity during menstruation. Ultrasound revealed an endometrioma-like subcutaneous mass directly under the right edge of the Pfannenstiel scar. The mass (3.5 × 2.4 × 2 cm) was removed en bloc with ultrascissor. Conclusion: The prevailing argument supports that it is a complication caused by the iatrogenic dispersal of endometrial material. Symptoms onset vary from one to five years postoperatively and mainly include pain and enlargement of the mass during menstruation. Diagnosis may be demanding due to the atypical presentation of the disease. Symptoms exacerbate during menstruation in only 20% of all cases. Abdominal ultrasound is extremely useful for diagnosis. The treatment of choice is surgical excision.

Keywords

- Endometriosis - Caesarian section - Infertility

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endometriosisendometrioma

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last seen: 2026-06-10T17:14:06.276822+00:00
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