Cesarean scar endometrioma: A rare case report with literature review

Hemant Sharma
In: MOJ Clinical & Medical Case Reports · 2019 · vol. 9(4) , pp. 92–94 · doi:10.15406/mojcr.2019.09.00312 · W3034568167
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This case report describes Pfannenstiel scar endometriosis diagnosed 6 years after cesarean section and reviews its pathogenesis, clinical and imaging features, and treatment options.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 ⓘ

This paper reports a rare case of cesarean scar endometriosis (endometrioma) in a 28-year-old woman who developed a painful, cyclic tender swelling at the left Pfannenstiel scar site 6 years after her lower segment cesarean section, after initially having pain that subsided without treatment and later re-presentation following a subsequent delivery. The authors used clinical history and ultrasound to diagnose scar endometriosis, then performed wide local excision with a reported 1 cm margin; histopathology confirmed benign endometrial glands and stroma within fibrous scar tissue without malignancy, and the patient had no recurrence over 6 months. A key caveat is that FNAC and advanced imaging (CT/MRI) were not performed due to cost/time, limiting characterization beyond ultrasound and clinical assessment. Relevance to endometriosis: the paper’s entire case and literature review focus on cesarean scar endometriosis (extra-pelvic endometriosis) and details diagnostic and treatment considerations for this condition.

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Abstract

Endometriosis is presence of endometrial glands and stroma outside uterine cavity. Scar endometriosis is an uncommon variant of extra pelvic endometriosis developing at scar site of previous abdominopelvic surgery. Pre-operative Diagnosis of scar endometriosis is often delayed due to its clinical similarity with other surgical conditions. We present a case of Pfannenstiel scar endometriosis diagnosed 6 years after cesarean section delivery and highlight pathogenesis, clinical and imaging features and various treatment options with an aim to increase awareness about this rare entity.

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endometriosisendometrioma

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