PARIETAL ENDOMETRIOSIS AFTER CESAREAN SECTION: A SERIE OF THREE CASES AND REVIEW OF THE LITERATURE

Tillila Mazali*1, Wiam Aarbaoui2, Chadia Khaloufi3, Fouzia Hilali4, Houda Moustaide5, Saad Benkiran6
2026 · doi:10.5281/zenodo.19436139 · W7150879768
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This paper reports a series of three rare cases of parietal endometriosis developing within cesarean section scars. The authors describe the clinical presentation as discrete, tender scar-related masses that may fluctuate with menstrual cycles, noting that definitive diagnosis requires histopathological examination. Surgical excision is identified as the gold standard treatment, while the study also reviews hypothesized pathophysiological mechanisms and the role of imaging in management. This paper is centrally about endometriosis — specifically focusing on abdominal wall or parietal endometriosis resulting from prior surgical interventions like cesarean sections.

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Abstract

Parietal endometriosis remains an uncommon diagnosis, with mechanisms of development that are still not fully elucidated. The most widespread hypothesis in its pathogenesis is the implantation of endometrial cells within musculoaponeurotic, cutaneous, or subcutaneous structures during operations, particularly hysterotomy. Parietal endometriosis follows typically gynecologic or obstetric surgery. Clinically, it typically presents as a discrete scar-related mass, tender at times, with a presentation that may change from one menstrual cycle to another — a presentation that can strongly lead to the diagnosis. Regardless of that, definite diagnosis is on histopathological examination, and surgical excision remains the gold standard of treatment. We report a series of three rare cases of parietal endometriosis arising in cesarean section scars, and on the basis of the case, we describe the hypothesized pathophysiological mechanisms, the classical clinical manifestations, the imaging role, the therapeutic options, and the clinical course, based on review of the literature.
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PARIETAL ENDOMETRIOSIS AFTER CESAREAN SECTION: A SERIE OF THREE CASES AND REVIEW OF THE LITERATURE Description Parietal endometriosis remains an uncommon diagnosis, with mechanisms of development that are still not fully elucidated. The most widespread hypothesis in its pathogenesis is the implantation of endometrial cells within musculoaponeurotic, cutaneous, or subcutaneous structures during operations, particularly hysterotomy. Parietal endometriosis follows typically gynecologic or obstetric surgery. Clinically, it typically presents as a discrete scar-related mass, tender at times, with a presentation that may change from one menstrual cycle to another — a presentation that can strongly lead to the diagnosis. Regardless of that, definite diagnosis is on histopathological examination, and surgical excision remains the gold standard of treatment. We report a series of three rare cases of parietal endometriosis arising in cesarean section scars, and on the basis of the case, we describe the hypothesized pathophysiological mechanisms, the classical clinical manifestations, the imaging role, the therapeutic options, and the clinical course, based on review of the literature. Files 34 WJAHR 3788.pdf Files (363.6 kB) | Name | Size | Download all | |---|---|---| | md5:6ebd44a8b816e03ddea445b21cdd02be | 363.6 kB | Preview Download |

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