Scar endometriosis—a gynaecologic pathology often presented to the general surgeon rather than the gynaecologist: report of two cases

Ozgür Aydin, Özgür Aydın
Langenbeck's archives of surgery · 2006 · vol. 392(1) , pp. 105–109 · doi:10.1007/s00423-006-0107-8 · PMID:17043902 · W2061834963
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-14 ⓘ

This report details two cases of scar endometriosis occurring in cesarean section scars, a condition often misdiagnosed as a hernia or other general surgery issue.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-14 · read from full text ⓘ

This paper describes scar endometriosis occurring in and adjacent to prior abdominal surgical scars, presenting with two cases of cutaneous endometriosis arising at the site of previous cesarean section scars. Across the described cases, the clinical picture is framed as typically involving a palpable subcutaneous mass with cyclic pain and swelling that worsens around menstruation, though the authors note that endometriosis is frequently not suspected until histology is performed. The major caveat is that the report is limited to two cases and emphasizes clinical recognition rather than providing comparative diagnostic performance data. This paper is centrally about endometriosis — specifically scar/abdominal wall endometriosis at prior cesarean section sites.

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Abstract

IntroductionScar endometriosis develops in and is adjacent to surgical scars at the site of previous abdominal operations. The most frequent clinical presentation of the disease is that of a palpable subcutaneous mass near surgical scars associated with cyclic pain and swelling during menses. Endometriosis of the surgical scar is often referred to the general surgeons because the clinical presentation suggests an incisional hernia or other conditions related to the general surgery. Cyclical symptoms such as pain and swelling, in relation to surgical scars, which worsen at the time of menstruation, are nearly pathognomonic of scar endometriosis. However, often the diagnosis of endometriosis is not suggested until after histology has been performed.Case reportWe present two cases of cutaneous endometriosis that has occurred on the site of previous cesarean section scar area.
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Abstract

Introduction Scar endometriosis develops in and is adjacent to surgical scars at the site of previous abdominal operations. The most frequent clinical presentation of the disease is that of a palpable subcutaneous mass near surgical scars associated with cyclic pain and swelling during menses. Endometriosis of the surgical scar is often referred to the general surgeons because the clinical presentation suggests an incisional hernia or other conditions related to the general surgery. Cyclical symptoms such as pain and swelling, in relation to surgical scars, which worsen at the time of menstruation, are nearly pathognomonic of scar endometriosis. However, often the diagnosis of endometriosis is not suggested until after histology has been performed. Case report We present two cases of cutaneous endometriosis that has occurred on the site of previous cesarean section scar area. Similar content being viewed by others

References

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endometriosis

MeSH descriptors

Cesarean Section Cicatrix Endometriosis Postoperative Complications Adult Cicatrix Endometriosis Female General Surgery Gynecology Humans Middle Aged Postoperative Complications

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