Scar endometriosis-rare and painful entity: a case report

Anita Yadav, Jyoti Baghel, Rajneesh Rawat, Avinash Prakash
In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology · 2021 · vol. 10(5) , pp. 2104 · doi:10.18203/2320-1770.ijrcog20211551 · W4254027602
article OA: diamond CC0
🔓 Open OA copy Full text JSON View on OpenAlex View at publisher
⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This case report details the diagnosis and surgical management of scar endometriosis in the rectus sheath following a repeat cesarean section.

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, 2026-06-09 · read from full text ⓘ

This paper is a case report of scar endometriosis, a rare extra-pelvic endometriosis that develops after obstetrical or gynecological surgery, describing a patient with a lesion in the rectus sheath following repeat caesarean section. The diagnosis relied on detailed history and clinical examination, supported by imaging and histopathological evaluation, and the patient underwent surgical excision with follow-up after surgery. The authors note that scar endometriosis has complex pathophysiology and a diverse symptom profile, while emphasizing that the combined diagnostic approach is usually efficient. This paper is centrally about endometriosis — specifically, it reports a case of scar endometriosis arising after cesarean section.

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

Abstract

Scar endometriosis is a rare type of extra-pelvic endometriosis that develops following obstetrical and gynecological surgeries. It is a rare entity, though probably on the rise, due to the increase in caesarean sections performed worldwide. This manuscript reports a rare case of scar endometriosis involving rectus sheath following repeat caesarean section and was managed at a tertiary level centre. The patient required surgical excision of the lesion and was kept on regular follow-up following surgery. The physiopathology of scar endometriosis is complex; its symptomatology is rich and diverse but detailed history, thorough clinical examination along with imaging and histopathological evaluation is usually efficient in diagnosing the condition.
Full text 3,070 characters · extracted from oa-doi-fallback · click to expand
Scar endometriosis-rare and painful entity: a case report DOI: https://doi.org/10.18203/2320-1770.ijrcog20211551Keywords: Endometriosis, Caesarean section, Scar endometriosisAbstract Scar endometriosis is a rare type of extra-pelvic endometriosis that develops following obstetrical and gynecological surgeries. It is a rare entity, though probably on the rise, due to the increase in caesarean sections performed worldwide. This manuscript reports a rare case of scar endometriosis involving rectus sheath following repeat caesarean section and was managed at a tertiary level centre. The patient required surgical excision of the lesion and was kept on regular follow-up following surgery. The physiopathology of scar endometriosis is complex; its symptomatology is rich and diverse but detailed history, thorough clinical examination along with imaging and histopathological evaluation is usually efficient in diagnosing the condition.Metrics References Acién P, Velasco I. Endometriosis: a disease that remains enigmatic. ISRN Obstet Gynecol. 2013 Jul 17;2013:242149. Machairiotis N, Stylianaki A, Dryllis G, Zarogoulidis P, Kouroutou P, Tsiamis N, et al. Extrapelvic endometriosis: a rare entity or an under diagnosed condition? Diagn Pathol. 2013;8:194. Sharma M, Nautiyal R, Chaturvedi J, Bhargava S. Scar endometriosis following caesarean section: a rare case report. Int J Reprod Contracept Obstet Gynecol 2015;4:884-6. Chatterjee SK. Scar endometriosis: a clinicopathologic study of 17 cases. Obstet Gynecol. 1980;56(1):81-4. Wolf Y, Haddad R, Werbin N, Skornick Y, Kaplan O. Endometriosis in abdominal scars: a diagnostic pitfall. Am Surg. 1996;62(12):1042-4. Blanco RG, Parithivel VS, Shah AK, Gumbs MA, Schein M, Gerst PH. Abdominal wall endometriomas. Am J Surg. 2003;185(6):596-8. Scott RB, Linde RW. Clinical external endometriosis; probable viability of menstrually shed fragments of endometrium. Obstet Gynecol. 1954;4(5):502-10. Ding DC, Hsu S. Scar endometriosis at the site of cesarean section. Taiwan J Obstet Gynecol. 2006;45(3):247-9. Biswas BK, Gupta N, Magon N. Incisional endometriosis: A rare cause for a painful scar - A report and commentary. Niger Med J. 2012;53(4):257-9. Celik M, Bülbüloglu E, Büyükbese MA, Cetinkaya A. Abdominal wall endometrioma: Localizing in rectus abdominus sheath. Turk J Med Sci. 2004;34:341-3. Pathan SK, Kapila K, Haji BE, Mallik MK, Al-Ansary TA, et al. Cytomorphological spectrum in scar endometriosis: a study of eight cases. Cytopathology. 2005;16(2):94-9. Al-Jabri K. Endometriosis at caesarian section scar. Oman Med J. 2009;24(4):294-5. Uçar MG, Şanlıkan F, Göçmen A. Surgical Treatment of Scar Endometriosis Following Cesarean Section, a Series of 12 Cases. Indian J Surg. 2015;77(S2):682-6. Horton JD, Dezee KJ, Ahnfeldt EP, Wagner M. Abdominal wall endometriosis: a surgeon's perspective and review of 445 cases. Am J Surg. 2008;196(2):207-12. Zhang J, Liu X. Clinicopathological features of endometriosis in abdominal wall--clinical analysis of 151 cases. Clin Exp Obstet Gynecol. 2016;43(3):379-83.

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

endometriosis

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 (15)

Source provenance

openalex
last seen: 2026-06-04T00:00:01.174412+00:00
License: CC0 · commercial use OK