Endometriosis at Caesarian Section Scar
This case report evaluates the incidence, pathophysiology, course, diagnosis, treatment, and prevention of abdominal wall endometriosis occurring after cesarean section.
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This paper presents a case report of a 30-year-old woman with a painful abdominal wall lump at a Pfannenstiel incision 10 months after cesarean section, initially presumed to be a stitch granuloma based on symptoms and ultrasound showing a bright heteroechoic mass. The lump persisted and enlarged despite conservative management, leading to wide local excision, where histopathology identified endometriosis involving fibroadipose tissue with glands and stroma. The authors discuss proposed mechanisms for scar endometriosis, emphasizing direct inoculation of endometrial cells during surgery and estrogen-driven lesion formation, and note that scar endometriosis is rare, difficult to diagnose, and often confused with other postoperative masses. This paper is centrally about endometriosis — specifically endometriosis occurring at a cesarean section scar in the abdominal wall.
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References (9)
- Abdominal Wall Endometrioma: Localizing in Rectus Abdominus Sheath via openalex
- Abdominal Wall Endometriosis In General Surgery via openalex
- Endometrioma of the abdominal wall via openalex
- Extrapelvic Endometriosis via openalex
- Extrapelvic endometriosis: Diagnosis and treatment via openalex
- Leuprolide acetate in the management of cesarean scar endometriosis via openalex
- Rectus abdominis endometrioma via openalex
- Scar endometriosis. via openalex
- Transformation maligne d’une endométriose pariétale via openalex
Cited by (27)
- Giant Cesarean Section Scar Endometriosis Presenting with Cyclic Pain: A Neglected Clinical Manifestation—A Case Report 2026
- Abdominal wall endometriosis in cesarean scar: A case report 2024
- Scar Endometriosis-A Case Series of 8 Cases of this Rare Entity 2023
- A case of scar endometriosis in cesarean scar: A rare case report 2022
- A case series of scar endometriosis after cesarean section 2022
- UTERINE SCAR ENDOMETRIOMA: A CASE REPORT 2022
- Spontaneous cutaneous endometriosis in Mons Pubis: review of literature 2021
- Scar endometriosis-rare and painful entity: a case report 2021
- Case series of scar endometriosis- post caeserean section: A diagnostic pitfall 2021
- A rare case of perineal endometriosis with anal sphincter involvement 2020
- Scar Endometriosis: Experience of a Surgeon 2019
- Perineal Endometriosis in an Episiotomy scar: A Case Report and Review of Literature 2018
- Scar endometriosis with rudimentary horn: An unusual and elucidative report of a case diagnosed on histopathology and immunohistochemistry 2017
- Scar endometriosis: a mimic of acute abdominal emergencies 2017
- Abdominal Wall Endometriomas at Cesarean Section Scars: A Case Series 2017
- Cell block preparation – An adjunct to fine-needle aspiration cytology – unveiled the diagnosis 2017
- Abdominal Wall Endometriosis in a Rhesus Macaque (<i>Macaca mulatta</i>). 2017
- Cesarean Scar Endometriosis: An Uncommon Surgical Complication on the Rise? Case Report and Literature Review 2017
- Abdominal wall endometriosis: a case report and review of literature 2016
- Scar Endometriosis: A Rare Cause of Pain at Cesarean Scar 2015
- Post Caesarean Scar Endometriosis 2015
- INCIDENTAL ENDOMETRIOSIS DURING CESAREAN SECTION SHOWS MARKED DECIDUALIZATION: A CASE REPORT OF UNCOMMON PRESENTATION 2015
- Caesarean scar endometriosis: a rare site of extrapelvic endometriosis 2015
- Abdominal wall endometriosis: A case report and literature review 2014
- Scar endometriosis following hysterotomy: a case report 2014
- Surgical Treatment of Scar Endometriosis Following Cesarean Section, a Series of 12 Cases 2013
- RECTUS SHEATH ENDOMETRIOSIS IN CAESAREAN SCAR 2013
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