The hidden pain of surgical scars: exploring scar endometriosis

N. Sunanda, D. Poornima
In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology · 2025 · vol. 14(6) , pp. 1983–1985 · doi:10.18203/2320-1770.ijrcog20251596 · W4410843150
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This paper presents case reports of scar endometriosis following cesarean sections, discussing its pathogenesis, diagnosis, and treatment, with surgical excision confirming the condition.

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This paper examines scar endometriosis, a rare condition characterized by nonspecific pain at surgical incision sites that often coincides with menstruation. The authors present case reports of patients who developed troublesome scars following caesarean sections, highlighting that definitive diagnosis is frequently achieved only after the excision of diseased tissue. The discussion covers the pathogenesis, diagnostic challenges, and treatment options for this specific form of extragenital endometriosis. This paper is centrally about endometriosis — specifically focusing on scar endometriosis occurring at obstetrical and gynaecological surgical sites.

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Abstract

Scar endometriosis is a rare disease and is difficult to diagnose. The symptoms are nonspecific, typically involving pain at the incision site at the time of menstruation. It commonly follows obstetrical and gynaecological surgeries. The diagnosis is frequently made only after excision of the diseases tissue. The case reports of the patients with a troublesome scar after a caesarean section are presented. Surgical excision led to the diagnosis of scar endometriosis. The Pathogenesis, diagnosis and treatment of this somewhat rare condition are discussed.
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The hidden pain of surgical scars: exploring scar endometriosis DOI: https://doi.org/10.18203/2320-1770.ijrcog20251596Keywords: Scar endometriosis, Menstruation, HistologyAbstract Scar endometriosis is a rare disease and is difficult to diagnose. The symptoms are nonspecific, typically involving pain at the incision site at the time of menstruation. It commonly follows obstetrical and gynaecological surgeries. The diagnosis is frequently made only after excision of the diseases tissue. The case reports of the patients with a troublesome scar after a caesarean section are presented. Surgical excision led to the diagnosis of scar endometriosis. The Pathogenesis, diagnosis and treatment of this somewhat rare condition are discussed. Metrics References Bektas H, Bilsel Y, Sarı YS, Feyzullah E, Oğuz K, Mehdi D, et al. Abdominal wall endometrioma; a 10-year experience and brief review of the literature. J Surg Res. 2010;164(1):e77-81. DOI: https://doi.org/10.1016/j.jss.2010.07.043 Douglas C, Rotimi O. Extragenital endometriosis-a clinicopathological review of a Glasgow hospital experience with case illustrations. J Obstet Gynaecol. 2004;24(7):804-8. DOI: https://doi.org/10.1080/01443610400009568 Chiara B, Daniel C, De Sousa Costa D, Cruz AC, Zomer MT, Cosma S, et al. Abdominal wall endometriosis: Report of 83 cases. Int J Gynaecol Obstet. 2022;159(2):530-6. DOI: https://doi.org/10.1002/ijgo.14167 Bhowmick RN, Paul P, Dutra S, Roy B. Endometriosis of laparotomy scar (a review of 13 cases). J Obstet Gynecol. 1986;36(1):130-1. Chatterjee SK. Scar endometriosis: a clinicopathologic study of 17 cases. Obstet Gynecol. 1980;56(1):81-4. Steck WD, Helwig EB. Cutaneous endometriosis. Clin Obstetr Gynecol. 1966;9(2):373-83. DOI: https://doi.org/10.1097/00003081-196606000-00007

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endometriosis

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