Cesarean-Section Scar Endometrioma: A Case Report and Review of the Literature

Madison Kocher, Andrew Hardie, Andrew D. Hardie, Amanda R. Schaefer, Amanda Schaefer, Thomas McLaren, Mark D. Kovacs, Mark Kovacs
Journal of radiology case reports · 2017 · vol. 11(12) , pp. 16–26 · doi:10.3941/jrcr.v11i12.3178 · PMID:29290906 · PMC5741084 · W2772653036
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This case report details a pathology-confirmed Cesarean-section scar endometrioma, highlighting its clinical presentation and CT imaging findings, and provides a literature review on its multi-modality imaging appearance.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-13 · read from full text ⓘ

This paper describes a pathology-confirmed case of a Cesarean-section scar endometrioma arising at the Pfannenstiel incision site, presenting with a classic clinical picture and computed tomography imaging findings. Using a case report plus a review of the literature, it summarizes that abdominal wall endometriomas can develop after surgical endometrial manipulation and discusses the appearances on multi-modality imaging including ultrasound, CT, and MRI. A key caveat noted is that definitive diagnosis is ultimately histopathologic. This paper is centrally about endometriosis—specifically Cesarean-section scar endometrioma (incisional endometriosis in the abdominal wall).

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Abstract

Endometriomas can occur after any surgery where there is endometrial manipulation, and there are a number of reports of endometriomas developing in the abdominal wall at the site of the Pfannenstiel incision following Cesarean-section. Although this is ultimately a histopathologically-confirmed diagnosis, preoperative imaging including ultrasound, computed tomography, and magnetic resonance imaging may be helpful in the diagnosis and assessment. We report a pathology-confirmed case of Cesarean-section endometrioma with a classic, clinical presentation and imaging findings on computed tomography. A comprehensive literature review and discussion of the multi-modality imaging appearance of Cesarean-section endometrioma is also provided.
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Cesarean-Section Scar Endometrioma: A Case Report and Review of the Literature DOI: https://doi.org/10.3941/jrcr.v11i12.3178Keywords: Cesarean section endometrioma, Cesarean scar endometriosis, scar endometriosis, incisional endometriosis, cutaneous endometriosis, endometriosis, endometrioma, abdominal wallAbstract Endometriomas can occur after any surgery where there is endometrial manipulation, and there are a number of reports of endometriomas developing in the abdominal wall at the site of the Pfannenstiel incision following Cesarean-section. Although this is ultimately a histopathologically-confirmed diagnosis, preoperative imaging including ultrasound, computed tomography, and magnetic resonance imaging may be helpful in the diagnosis and assessment. We report a pathology-confirmed case of Cesarean-section endometrioma with a classic, clinical presentation and imaging findings on computed tomography. A comprehensive literature review and discussion of the multi-modality imaging appearance of Cesarean-section endometrioma is also provided.Downloads Published 2017-12-13 Issue Section Obstetric & Gynecologic Radiology License The publisher holds the copyright to the published articles and contents. However, the articles in this journal are open-access articles distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License, which permits reproduction and distribution, provided the original work is properly cited. The publisher and author have the right to use the text, images and other multimedia contents from the submitted work for further usage in affiliated programs. Commercial use and derivative works are not permitted, unless explicitly allowed by the publisher.

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Condition tags

endometriosisendometrioma

MeSH descriptors

Cesarean Section Cicatrix Endometriosis Surgical Wound Adult Cesarean Section Cicatrix Cicatrix Cicatrix Endometriosis Endometriosis Endometriosis Female Humans Surgical Wound Surgical Wound

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.

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