Scar endometriosis: a mystery entity

In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology · 2021 · vol. 10(5) , pp. 2075 · doi:10.18203/2320-1770.ijrcog20211543 · W4245426084
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AI-generated summary by claude@2026-06, 2026-06-08

Caesarean scar endometriosis, a misplaced active endometrial tissue presenting variably, requires suspicion-based imaging and biopsy for diagnosis and patient counseling.

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AI-generated deep summary by claude@2026-06, 2026-06-10

This paper describes scar endometriosis as active endometrial tissue located in a surgical scar outside the uterine cavity, with particular emphasis on caesarean scar endometriosis that can follow procedures such as caesarean sections or hysterectomies. It states that diagnosis relies on proper history, clinical examination, and suspicion-based imaging, and highlights that the timing of presentation is variable and can make recognition difficult, while convincing patients about active ectopic glands may be challenging. The paper emphasizes that appropriate imaging and biopsy are needed to support a thorough counselling and management approach, noting the diagnostic uncertainty when suspicion is not high. This paper is centrally about endometriosis — it focuses specifically on scar (including caesarean scar) endometriosis.

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Abstract

Scar Endometriosis is described as having an active endometrial tissue at the scar area outside the uterine cavity. Corner stone for diagnosis is proper history, clinical examination and suspicion-based imaging. Caesarean scar endometriosis (CSE) usually seen following procedures like caesarean sections, hysterectomies. Time of presentation can be very variable so yet times difficult to suspect. Once suspected Convincing patient that they have active glands other than in uterine cavity is not easy. Hence proper imaging and biopsy is needed to backup for thorough counselling and treatment to improve the quality of life.

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Condition tags

endometriosis

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