Caesarean section scar endometriosis: a case report and review of literature

Setu Rathod, Sunil Kumar Samal, Seetesh Ghose
In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology · 2014 · pp. 757–759 · doi:10.5455/2320-1770.ijrcog20140903 · W2088036708
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This case report describes abdominal wall scar endometriosis occurring three years after a cesarean delivery and reviews the condition's epidemiology, pathogenesis, clinical features, diagnosis, treatment, and prevention.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 · read from full text ⓘ

This paper presents a case of abdominal wall scar endometriosis in a woman with a history of caesarean delivery three years earlier, and it provides a review of the literature on caesarean scar endometriosis. The authors describe scar endometriosis as a rare complication of pelvic operations involving the uterus and fallopian tubes, with nonspecific symptoms such as abdominal wall pain at the incision site during menstruation, and note that diagnosis can be challenging and confused with other surgical conditions. The main limitation is that the evidence base is primarily case-based and narrative review, without new prospective or comparative data. This paper is centrally about endometriosis — specifically caesarean section scar (abdominal wall) endometriosis.

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Abstract

Endometriosis is described as the presence of functioning endometrial tissue outside the uterine cavity. Scar endometriosis is a rare event which usually develops after pelvic operations involving the uterus and fallopian tubes. The symptoms are nonspecific, typically involving abdominal wall pain at the incision site at the time of menstruation. Its diagnosis can sometimes be difficult and may be confused with various other surgical conditions. We present here a case of abdominal wall scar endometriosis in a woman who has undergone caesarean delivery three years prior to her current presentation. The epidemiology, pathogenesis, clinical features, diagnosis, treatment and methods of prevention of this somewhat rare condition are discussed.
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Keywords

Caesarean scar, Scar endometriosisAbstract Endometriosis is described as the presence of functioning endometrial tissue outside the uterine cavity. Scar endometriosis is a rare event which usually develops after pelvic operations involving the uterus and fallopian tubes. The symptoms are nonspecific, typically involving abdominal wall pain at the incision site at the time of menstruation. Its diagnosis can sometimes be difficult and may be confused with various other surgical conditions. We present here a case of abdominal wall scar endometriosis in a woman who has undergone caesarean delivery three years prior to her current presentation. The epidemiology, pathogenesis, clinical features, diagnosis, treatment and methods of prevention of this somewhat rare condition are discussed. Metrics

References

Schorge JO, Schaffer JI, Halvorson LM, et al. Endometriosis: introduction. In: Schorge JO, eds. Williams Gynecology. 1st ed. New York: McGraw Hill Medical; 2008: 225-230. Francica G, Giardiello C, Angelone G, Cristiano S, Finelli R, Tramontano G. Abdominal wall endometriosis near cesarean delivery scars. J Ultrasound Med. 2003;22:1041-7. Kaloo P, Reid G, Wong F. Caesarean section scar endometriosis: Two cases of recurrent disease and a literature review. Aust NZ J Obstet Gynecol. 2002;42:218-20. Danielpour PJ, Layke JC, Glickman LT. Scar endometriosis - a rare cause for a painful scar: a case report and review of the literature. Can J Plast Surg. 2010;18(1):19-20. Khoo JJ. Scar endometriosis presenting as an acute abdomen: a case report. Aust NZ Obstet Gynecol. 2003;43:164-5. Tanos B, Anteby SO. Caesarean scar endometriosis. Int J Gynecol Obstet. 1994;47:163-6. Douglas C, Rotimi O. Extragenital endometriosis: a clinicopathological review of Glasgow hospital with case illustrations. J Obstet Gynecol. 2004;24:804-8. Hesla JS, Rock JA. Endometriosis. In: Rock JA, eds. Te Linde’s Operative Gynecology, 10th ed. New Delhi: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2008: 461. Giudice LC, Kao LC. Endometriosis. Lancet. 2004;364:1789. Chapron C, Fauconnier A, Dubuisson JB et al. Deep infiltrating endometriosis: relation between severity of dysmenorrhoea and extent of disease. Hum Reprod. 2003;18:760. Berkley KJ, Rapkin AJ, Papka RE. The pains of endometriosis. Sci. 2005;308:1587. Ding CD, Hsu S. Scar endometriosis at the site of cesarean section. Taiwanese J Obstet Gynecol. 2006;3:247-9. Wolf G, Singh K. Cesarean scar endometriosis: a review. Obstet Gynecol Surv. 1989;44:89-95. Schoelefield HJ, Sajjad Y, Morgan PR. Cutaneous endometriosis and its association with caesarean section and gynecological procedures. J Obstet Gynecol. 2002;22:553-4. Wasfie T, Gomez E, Seon S, Zado B. Abdominal wall endometrioma after cesarean section: a preventable complication. Int Surg. 2002;87:175-7.

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endometriosis

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