Abdominal Scar endometriosis: report of three cases with cytohistocorroboration

Ritu Arora, Ila Tyagi, Namrata Nargotra, Garima Singh, Abhijit Das
In: Annals of Pathology and Laboratory Medicine · 2017 · vol. 4(1) , pp. C25–C28 · doi:10.21276/apalm.2017.1029 · W2593136370
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This report details three cases of abdominal scar endometriosis, presenting physical signs, symptoms, and cytological features, emphasizing the need for high suspicion in postoperative abdominal lumps.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 · read from full text ⓘ

This paper reports three cases of abdominal wall scar endometriosis, including two in prior cesarean incisions and one after second-trimester hysterotomy, describing physical signs, symptoms, and cytological features. The authors note that incisional endometriosis is rare and frequently misdiagnosed as conditions such as stitch granuloma, abscess, incisional hernia, or various tumors. They emphasize that accurate diagnosis requires a high index of suspicion in women presenting with a postoperative abdominal lump, supported by cytohistocorroboration in these cases. This paper is centrally about endometriosis — it focuses specifically on abdominal scar/incisional endometriosis and its cytological diagnosis.

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Abstract

Endometriosis of the abdominal wall scar is rare, reported incidence being 1.08% for mid-trimester abortion and 0.03–0.4% following caesarean sections. Incisional endometriosis is a relatively rare entity and is often misdiagnosed as stitch granuloma, abscess, incisional hernia, lipoma, hematoma, desmoid tumor, sarcoma, lymphoma, or primary and metastatic cancer.We report three cases of abdominal scar endometriosis; two cases occurring in the surgical scar of previous caesarean incision and one case occurring after second trimester hysterotomy. The present study describes the physical signs and symptoms and cytological features of abdominal scar endometriosis. A high index of suspicion is needed for early diagnosis of this entity in a woman presenting with post operative abdominal lump. DOI: 10.21276/APALM.2017.1029
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Keywords

Endometriosis, Surgical Scar, Abdominal WallAbstract Endometriosis of the abdominal wall scar is rare, reported incidence being 1.08% for mid-trimester abortion and 0.03—0.4% following caesarean sections. Incisional endometriosis is a relatively rare entity and is often misdiagnosed as stitch granuloma, abscess, incisional hernia, lipoma, hematoma, desmoid tumor, sarcoma, lymphoma, or primary and metastatic cancer. We report three cases of abdominal scar endometriosis; two cases occurring in the surgical scar of previous caesarean incision and one case occurring after second trimester hysterotomy. The present study describes the physical signs and symptoms and cytological features of abdominal scar endometriosis. A high index of suspicion is needed for early diagnosis of this entity in a woman presenting with post operative abdominal lump. DOI: 10.21276/APALM.2017.1029

References

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