Abdominal scar endometriosis: case report

M Miccini, Michelangelo Miccini, Matteo Gregori, M Gregori, D Ferraro, Dorothy Roedel Ferraro, A Ciardi, Antonio Ciardi, S Cassibba, D Biacchi, Daniele Biacchi
Clinical and experimental obstetrics & gynecology · 2016 · vol. 43(3) , pp. 431–433 · doi:10.12891/ceog3487.2016 · PMID:27328507 · W2460211937
article OA: bronze CC0 ⤵ 9 in-corpus citations
🔓 Open OA copy Full text JSON View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This case report describes a 39-year-old woman with a history of cesarean sections who presented with a painful mass at her abdominal incision, ultimately diagnosed as scar endometriosis via surgical excision and histology.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text ⓘ

This case report studied abdominal scar endometriosis in a 39-year-old woman with a 20-week history of a palpable mass at a Pfannenstiel incision that developed after three prior cesarean sections, with pain described as continuous rather than cyclic. The paper notes that scar endometriosis is usually diagnosed preoperatively by a triad of an underlying incision mass, cyclic scar pain, and prior gynecologic or obstetric surgery, but it emphasizes that atypical presentations can make differential diagnosis difficult versus incarcerated incisional hernia, granuloma, abscess, or other soft tissue tumors. In this case, surgical excision followed by histology clarified the diagnosis. This paper is centrally about endometriosis — it reports abdominal scar endometriosis following cesarean incisions and highlights diagnostic challenges in atypical cases.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Abstract

Abdominal scar endometriosis, corresponding to the presence of an endometrial tissue near or inside an abdominal surgical incision, is a rare clinical event that can occur in women after gynecological or obstetric surgery. Generally, a triad consisting of underlying mass at the incision, cyclic menstrual scar pain, and history of previous gynecological or obstetric surgery leads to the preoperative diagnosis. In rare cases, the clinical presentation is atypical and the differential diagnosis with incarcerated incisional hernia, granuloma, abscess or other soft tissue tumors can be difficult. The authors describe the case of 39-year-old woman who underwent three previous cesarean sections, with a 20-week history of underlying palpable mass at the Pfannenstiel incision, associated to continuous pain. In this case, a surgical excision followed by the histology definitely clarified the diagnosis.
Full text 1,523 characters · extracted from oa-doi-fallback · 2 sections · click to expand

Abstract

Abdominal scar endometriosis, corresponding to the presence of an endometrial tissue near or inside an abdominal surgical incision, is a rare clinical event that can occur in women after gynecological or obstetric surgery. Generally, a triad consisting of underlying mass at the incision, cyclic menstrual scar pain, and history of previous gynecological or obstetric surgery leads to the preoperative diagnosis. In rare cases, the clinical presentation is atypical and the differential diagnosis with incarcerated incisional hernia, granuloma, abscess or other soft tissue tumors can be difficult. The authors describe the case of 39-year-old woman who underwent three previous cesarean sections, with a 20-week history of underlying palpable mass at the Pfannenstiel incision, associated to continuous pain. In this case, a surgical excision followed by the histology definitely clarified the diagnosis.

Keywords

- Abdominal wall endometriosis - Cesarean incision - Endometrial implants - Scar endometriosis - Obstetric surgery

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

⚙ Ask this paper AI returns verbatim quotes from the full text · source: oa-doi-fallback ⓘ

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Condition tags

mesh:D004715endometriosis

MeSH descriptors

Abdominal Wall Cesarean Section Cicatrix Endometriosis Incisional Hernia Abdominal Wall Abdominal Wall Abdominal Wall Adult Cicatrix Cicatrix Diagnosis, Differential Endometriosis Endometriosis Female Humans Incisional Hernia Ultrasonography

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.

References (14)

Cited by (9)

Source provenance

europepmc
last seen: 2026-06-04T01:30:01.192114+00:00
openalex
last seen: 2026-06-04T00:00:01.174412+00:00
pubmed
last seen: 2026-05-13T22:21:00.404924+00:00
License: CC0 · commercial use OK