A case of bifocal endometriosis involving a pfannenstiel incision.

Mehmet Sidik Evsen, Muhammet Erdal Sak, Ahmet Yalinkaya, Ahmet Yalınkaya, Ugur Firat, Uğur Fırat, Fatma Nur Çaça, Fatma Nur Caca
Ginekologia polska · 2011 · vol. 82(1) , pp. 71–3 · PMID:21469522 · W2412213504
article OA: green CC0 ⤵ 4 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This case report describes a 25-year-old woman with bifocal endometriosis found at both ends of a Pfannenstiel incision scar, confirmed by ultrasound and microscopic examination.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 ⓘ

This case report describes a 25-year-old woman with atypical cyclic pain and masses at both ends of a Pfannenstiel incision scar, with ultrasound showing two hypoechoic, heterogeneous anterior abdominal wall lesions. Both masses were surgically excised, and histology demonstrated endometrial gland structures with endometrial stroma within fibroadipose tissue in specimens from each lesion, consistent with endometriosis. The authors emphasize that incisional endometriosis can be multifocal at surgical scars and report this bifocal presentation at opposite ends of the Pfannenstiel scar, while noting the evidence is limited to a single case. This paper is centrally about endometriosis — it reports bifocal incisional endometriosis involving a Pfannenstiel incision scar.

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Abstract

A 25-year-old woman was referred to our clinic for atypical cyclic pain and masses at both ends of a Pfannenstiel incision scar. Ultrasound of the anterior abdominal wall showed two masses. Both masses were hypoechoic, heterogeneous lesions located at opposite ends of the scar. The lesions were surgically excised with. Microscopic examination revealed endometrial gland structures with endometrial stroma in fibroadipose tissue in sections of both specimens indicative of endometriosis. Incisional endometriosis (IE) is a form of extrapelvic endometriosis especially in scars of obstetric or gynecologic surgery IE may be multifocal at surgical scars. We report the a case of bifocal incisional endometriosis in Pfannesteil scar. Whole scar evaluation should be done for incisional endometriosis and surgical excision should be performed for treatment.

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Condition tags

endometriosis

MeSH descriptors

Abdominal Wall Cesarean Section Cicatrix Endometriosis Endometriosis Postoperative Complications Abdominal Pain Abdominal Pain Abdominal Pain Abdominal Wall Adult Cesarean Section Cesarean Section Cicatrix Cicatrix Cicatrix Endometriosis Endometriosis Female Humans

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