Case report on an enigma of caesarean section: ‘scar endometriosis’

Anamika Singh
In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology · 2021 · vol. 10(9) , pp. 3650 · doi:10.18203/2320-1770.ijrcog20213508 · W3198830143
article OA: diamond CC0
🔓 Open OA copy Full text JSON View on OpenAlex View at publisher
⚙ AI-generated summary by claude@2026-06, 2026-06-13 ⓘ

This case report describes scar endometriosis, an uncommon condition where endometrial tissue grows outside the uterus at a surgical scar, often presenting as a diagnostic challenge treatable with wide excision.

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, 2026-06-13 · read from full text ⓘ

This paper is a case report describing “scar endometriosis” occurring in a Caesarean section scar, emphasizing that scar endometriomas are extremely uncommon and can be difficult to diagnose because they may mimic other surgical or tumoral conditions. The authors discuss high-level diagnostic approaches mentioned in the report context, including imaging and fine-needle aspiration cytology (FNAC), alongside the need for careful clinical-pathologic correlation. They also note that while medical treatment can be helpful in selected cases, wide excision is presented as the treatment of choice. This paper is centrally about endometriosis — specifically Caesarean section scar endometriosis presenting as an abdominal wall lump.

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

Abstract

Endometriosis is described as a disease in which functional endometrial glands and stroma that commonly lines the uterus grows outdoor the uterus. The resulting cystic or solid tumoral masses due to endometriosis are named as endometrioma. They're normally seen within the ligaments of uterus, ovaries, pouch of Douglas and pelvic peritoneum however endometriosis has additionally been noted in nose, breast, lung, spleen, gastrointestinal tract, kidney, abdominal wall, however scar endometriomas are extremely uncommon and difficult to diagnose. This situation may be puzzled with different surgical conditions, however imaging strategies and FNAC can assist in diagnosing it better. Medical treatment is helpful in selected cases but wide excision is the treatment of choice.
Full text 5,457 characters · extracted from oa-doi-fallback · click to expand
Case report on an enigma of caesarean section: ‘scar endometriosis’ DOI: https://doi.org/10.18203/2320-1770.ijrcog20213508Keywords: Endometriosis, Caesarean section, Granuloma, Scar, LumpAbstract Endometriosis is described as a disease in which functional endometrial glands and stroma that commonly lines the uterus grows outdoor the uterus. The resulting cystic or solid tumoral masses due to endometriosis are named as endometrioma. They're normally seen within the ligaments of uterus, ovaries, pouch of Douglas and pelvic peritoneum however endometriosis has additionally been noted in nose, breast, lung, spleen, gastrointestinal tract, kidney, abdominal wall, however scar endometriomas are extremely uncommon and difficult to diagnose. This situation may be puzzled with different surgical conditions, however imaging strategies and FNAC can assist in diagnosing it better. Medical treatment is helpful in selected cases but wide excision is the treatment of choice. Metrics References Gupta P, Gupta S. Scar Endometriosis: a Case Report with Literature Review. Acta Med Iran. 2015;53:793. Wheeler JM. Epidemiology and prevalence of endometriosis. Infertil Reprod Med Clin North Am. 1992;3:545-8. Jubanyik KJ, Comite F. Extrapelvic endometriosis. Obstet Gynecol Clin North Am. 1997;24:411-40. Vellido-Cotelo R, Muñoz-González JL, Oliver-Pérez MR, de la Hera-Lázaro C, Almansa-González C, Pérez-Sagaseta C, et al. Endometriosis node in gynaecologic scars: a study of 17 patients and the diagnostic considerations in clinical experience in tertiary care center. BMC Womens Health 2015;15:13-5. Vural B, Vural F, Müezzinoglu B. An Abdominal Wall Desmoid Tumour Mimicking Cesarean Scar Endometriomas: A Case Report and Review of the Literature. J Clin Diagn Res 2015;9:14-5. Uçar MG, Şanlıkan F, Göçmen A. Surgical Treatment of Scar Endometriosis Following Cesarean Section, a Series of 12 Cases. Indian J Surg. 2015;77:682-3. Padmanabhan LD, Mhaskar R, Mhaskar A. Scar endometriosis. J Obstet Gynaecol India. 2003;53:59-60. Bhowmick RN, Paul P, Dutta S. Endometriosis of laparotomy scar. J Obstet Gynaecol India. 1986;36:130-1. Chatterjee SK. Scar endometriosis: A Clinicopathological study of 17 cases. Obstet Gynecol. 1980;56:81-3. Nirula R, Greaney GC. Incisional endometriosis: An under appreciated diagnosis in general surgery. Am Coll Surg 2000;190:404-7. Ideyi SC, Schein M, Niazi M. Spontaneous endometriosis of the abdominal wall. Dig Surg. 2003;20:246-7. Tomas E, Martin A, Garfia C, Gomez FS, Morillas JD, Tortajada GC. Abdominal wall endometriosis in absence of previoussurgery. J Ultrasound Med. 1999;18:373-5. Demiral G, Aksoy F, Ozclik A, Saban B, Kusak M, Ekinci O, Erengul C. Cesarean scar endometriosis: presentation of eleven clinical cases and review of the literature. J Turk Soc Obstet Gynecol. 2011;8:209-13. Elabsi M, Lahlou MK, Rouas L, Essadel H, Benamer S, Mohammadi A. Cicatrix endometriosis of the abdominal wall. Ann Chir. 2002;127:65-6. Phupong V, Triratanachat S. Ceserean section scar endometriosis: a case report and review of the literature. J Med Assoc Thai. 2002;85:733-4. Zhang J, Liu X. Clinicopathological features of endometriosis in abdominal wall-clinical analysis of 151 cases. Clin Exp Obstet Gynecol. 2016;43:379-80. Chatterjee SK. Scar endometriosis: A clinico-pathological study of 17 cases. J Obstet Gynaecol. 1980;56:81-4. Koger KE, Shatney CH, Hodge K, McClenathan JH. Surgical scar endometrioma. Surg Gynecol Obstet. 1993;177:243-6. Aydin O. Scar endometriosis - A gynaecologic pathology often presented to the general surgeon rather than the gynaecologist: Report of two cases. Langenbecks Arch Surg. 2007;392:105-9. Gunes M, Kayikcioglu F, Ozturkoglu E, Haberal A. Incisional endometriosis after cesarean section, episiotomy and other gynecologic procedures.J Obstet Gynaecol Res. 2005;31:471-5. Suginami H. A reappraisal of the coelomic metaplasia theory by reviewing endometriosis occurring in unusual sites and instances. Am J Obstet Gynecol. 1991;165:214-8. Ueki M. Histologic study of endometriosis and examination of lymphatic drainage in and from the uterus. Am J Obstet Gynecol. 1991;165:201-9. Mathur S, Peress MR, Williamson HO, Youmans CD, Maney SA, Garvin AJ, et al. Autoimmunity to endometrium and ovary in endometriosis. Clin Exp Immunol. 1982;50:259-66. Healy JT, Wilkinson NW, Sawyer M. Abdominal wall endometrioma in a laparoscopic trocar tract. Am Surg. 1995;61:962-3. Seltzer VL, Benjamin F, Deutsch S. Perimenopausal bleeding patterns and pathologic findings. J Am Med Womens Assoc. 1990;45:132-4. Blanco RG, Parithivel VS, Shah AK, Gumbs MA, Scheinz M, Gerst PH. Abdominal wall endometriomas. Am J Surg. 2003;185:596-8. Sevdel AV, Sickle SJ, Warner EA, Sax HC. Extrapelvic endometriosis: Diagnosis and treatment. Am J Surg. 1993;177:243-6. Medeiros F, Cavalcante DI, Medeiros MA, Eleutério J. Fine-needle aspiration cytology of scarendometriosis: study of seven cases and literature review. Diagn Cytopathol. 2011;39:189. Veda P, Srinivasaiah M. Incisional endometriosis: diagnosed by fine needle aspiration cytology. J Lab Phys 2010;2:117-9. Ravin ME, Das SK, Patel RB, Meeks GR. Leuprolide acetate in the management of cesarean scar endometriosis. Obstet Gynecol. 1995;85:838-9. Sergent F, Baron M, Le Cornec JB, Scotte M, Mace P, Marpeau L. Malignant transformation of abdominal wall endometriosis: a new case report. J Gynecol Obstet Biol Reprod (Paris). 2006;35(2):186-90.

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

endometriosisendometrioma

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 (25)

Source provenance

openalex
last seen: 2026-06-10T17:14:06.276822+00:00
License: CC0 · commercial use OK