Endometriosis at Caesarian Section Scar

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AI-generated summary by claude@2026-06, 2026-06-08

This case report evaluates the incidence, pathophysiology, course, diagnosis, treatment, and prevention of abdominal wall endometriosis occurring after cesarean section.

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AI-generated deep summary by claude@2026-06, 2026-06-09

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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Abstract

Endometriosis is a common gynecological condition which is sometimes presented to general surgeons as a lump in the abdomen. It can pose a diagnostic dilemma and should be in the differential diagnosis of lumps in the abdomen in females. Diagnosis is usually made following histological examination. This is a case report of abdominal wall endometriosis following caesarian section. This report discusses and evaluates the incidence, pathophysiology, course, diagnosis, treatment and prevention of this condition.

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Condition tags

endometriosis

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europepmc
last seen: 2026-06-16T06:07:01.518242+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-05-13T22:13:59.677786+00:00
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