Scar Endometriosis, An Uncommon Entity

Laky Saha
In: Journal of Bangladesh College of Physicians and Surgeons · 1970 · vol. 29(2) , pp. 99–101 · doi:10.3329/jbcps.v29i2.7955 · W2064596475
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This case report describes scar endometriosis, an uncommon benign lesion with potential for malignant transformation, diagnosed via histopathology after wide excision in a patient presenting with cyclical pain and swelling below the umbilicus two years post-cesarean section.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text ⓘ

This paper describes an uncommon case of scar endometriosis, where endometrial tissue is present in abnormal sites, highlighting that while the lesion is generally benign, malignant transformation is possible. A patient developed pain and a progressively enlarging swelling below the umbilicus about 2 years after a cesarean section, with pain that showed a distinct menstrual cycle relationship; wide excision was performed and histopathology confirmed scar endometriosis. The key limitation is that this is a single case report, so it does not provide broader evidence beyond the described clinical presentation and management. This paper is centrally about endometriosis — it reports a case of scar endometriosis following cesarean section with cyclic pain and histologic confirmation.

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Abstract

Scar endometriosis is an uncommon condition where there is presence of endometrial tissue in the abnormal sites. Generally this is a benign lesion although malignant transformation is possible. Commonest site is at the site of laparoscopy done for non gynaecologic indications. Extrapelvic sites are fairly uncommon, among which abdominal wall may also be affected. This case of scar endometriosis was diagnosed after 2 years of caesarean section. Patient presented with pain and swelling below the umbilicus. Pain had a distinct relationship with the menstrual cycle. Swelling appeared later and was slowly increasing in size. There was a high index of suspicion based on history and clinical findings. Wide excision was done and histopathogy reported the lesion as scar endometriosis. DOI: http://dx.doi.org/10.3329/jbcps.v29i2.7955 (J Bangladesh Coll Phys Surg 2011; 29: 99-101)
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Scar Endometriosis, An Uncommon Entity Abstract Scar endometriosis is an uncommon condition where there is presence of endometrial tissue in the abnormal sites. Generally this is a benign lesion although malignant transformation is possible. Commonest site is at the site of laparoscopy done for non gynaecologic indications. Extrapelvic sites are fairly uncommon, among which abdominal wall may also be affected. This case of scar endometriosis was diagnosed after 2 years of caesarean section. Patient presented with pain and swelling below the umbilicus. Pain had a distinct relationship with the menstrual cycle. Swelling appeared later and was slowly increasing in size. There was a high index of suspicion based on history and clinical findings. Wide excision was done and histopathogy reported the lesion as scar endometriosis. DOI: http://dx.doi.org/10.3329/jbcps.v29i2.7955 (J Bangladesh Coll Phys Surg 2011; 29: 99-101) 272 164 Downloads How to Cite Issue Section License Submission of a manuscript for publication implies the transfer of the copyright from the author to the publisher upon acceptance. Accepted manuscripts become the permanent property of the Journal of Bangladesh College of Physicians and Surgeons and may not be reproduced by any means in whole or in part without the written consent of the publisher. No part of the materials published in this journal may be reproduced, stored in a retrieval system or transmitted in any form or by any means electronic, mechanical, photocopying, recording or otherwise without the prior written permission of the publisher. Reprints of any article in the Journal will be available from the publisher.

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Condition tags

endometriosis

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