Anterior Abdominal Wall Endometriosis Following Caesarean Section: Two Rare Cases

Meryem Belmajdoub, Sofia Jayi, Fatima Alaoui, Hekmat Chaara, Moulay Abdelilah Melhouf
In: European Scientific Journal ESJ · 2019 · vol. 15(30) · doi:10.19044/esj.2019.v15n30p105 · W2982689407
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-08-02 ⓘ

This paper reports two rare cases of parietal endometriosis in caesarean section scars, highlighting diagnostic challenges and the need for wide surgical excision to prevent recurrence.

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This paper presents two rare cases of anterior abdominal wall endometriosis developing at the site of previous caesarean section scars. The authors note that while parietal endometriosis is uncommon and often difficult to diagnose via imaging, histological examination of the surgical specimen remains the definitive method for confirmation. They emphasize that wide surgical excision is necessary to prevent recurrence and aim to clarify the pathology's characteristics to aid in early management and prevention during obstetrical procedures. This paper is centrally about endometriosis — specifically, it details the occurrence and management of anterior abdominal wall endometriosis following caesarean section.

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Abstract

Parietal endometriosis is a rare clinical entity, whose pathophysiology remains unclear. It occurs most often after gynecological or obstetrical surgery. The clinical picture is relatively unspecific. Medical imaging is not very contributive. Only histological examination of the operative specimen can confirm the diagnosis. Surgical treatment must be wide enough to prevent recurrence. We report two cases of abdominal wall endometriosis occurring on caesarean section scar. Through these two cases, we will highlight the characteristics of this pathology including prognosis, which will help the practitioners in understanding the role of diagnosis and early management of this entity and its prevention during gynecological or obstetrical surgery.
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Anterior Abdominal Wall Endometriosis Following Caesarean Section: Two Rare Cases Abstract Parietal endometriosis is a rare clinical entity, whose pathophysiology remains unclear. It occurs most often after gynecological or obstetrical surgery. The clinical picture is relatively unspecific. Medical imaging is not very contributive. Only histological examination of the operative specimen can confirm the diagnosis. Surgical treatment must be wide enough to prevent recurrence. We report two cases of abdominal wall endometriosis occurring on caesarean section scar. Through these two cases, we will highlight the characteristics of this pathology including prognosis, which will help the practitioners in understanding the role of diagnosis and early management of this entity and its prevention during gynecological or obstetrical surgery. Downloads Copyright (c) 2019 Meryem Belmajdoub, Sofia Jayi, Fatima Zehra Fdili Alaoui, Hekmat Chaara, Moulay Abdelilah Melhouf This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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endometriosis

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