Scar Endometriosis Following Cesarean Section

Rüya Deveer, Melike Doğanay, Esma Sarıkaya, Alper Başbuğ, Derya Başbuğ, Levent Şırvan, Leyla Mollamahmutoğlu
2012 · W7015138562
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⚙ AI-generated summary by claude@2026-06, 2026-06-10 ⓘ

This study analyzed 9 surgically proven cases of abdominal wall endometriosis following cesarean section, finding cyclic pain near the scar and palpable masses were common, and sonography detected vascular, solid lesions.

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

This retrospective study evaluated clinical features of abdominal wall endometriosis occurring after cesarean section, using a 5-year institutional database of nine surgically proven cases. All patients had prior cesarean(s) and no reported history of endometriosis; they presented with focal scar-associated pain that was cyclic with menstruation in seven cases, and some had a palpable abdominal wall mass. Sonography detected all abdominal wall lesions, describing vascular solid lesions with some cystic changes (mean diameter 30 mm). The paper explicitly concludes that complete surgical excision is curative, but it is limited by its small sample size and retrospective design. This paper is centrally about endometriosis—specifically abdominal wall scar endometriosis following cesarean section.

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Abstract

OBJECTIVE: The purpose of our study was to evaluate clinical features of abdominal wall endometriosis following cesarean section. STUDY DESIGN: Our institution's database over a 5-year period was performed, yielding 9 surgically proven cases of abdominal wall endometriosis that were retrospectively studied. All patients had undergone sonography. The clinical data were analyzed. RESULTS: All patients had a history of at least one prior cesarean section. None of them had endometriosis history. All presented with focal pain near the surgical scar, which was cyclic in seven patients. Three patients presented with a palpable mass near the scar. Sonography detected all lesions within the abdominal wall, with a mean diameter of 30 mm. All lesions were vascular, and solid, with some cystic changes. CONCLUSION: Abdominal wall endometriosis frequently presents with cyclical pain during menstruation which is localised to a palpable mass in the abdominal wall especially in those who have had previous cesarean section. Complete surgical excision is curative.
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Gynecology Obstetrics & Reproductive Medicine (Apr 2012) Scar Endometriosis Following Cesarean Section Abstract OBJECTIVE: The purpose of our study was to evaluate clinical features of abdominal wall endometriosis following cesarean section. STUDY DESIGN: Our institution's database over a 5-year period was performed, yielding 9 surgically proven cases of abdominal wall endometriosis that were retrospectively studied. All patients had undergone sonography. The clinical data were analyzed. RESULTS: All patients had a history of at least one prior cesarean section. None of them had endometriosis history. All presented with focal pain near the surgical scar, which was cyclic in seven patients. Three patients presented with a palpable mass near the scar. Sonography detected all lesions within the abdominal wall, with a mean diameter of 30 mm. All lesions were vascular, and solid, with some cystic changes. CONCLUSION: Abdominal wall endometriosis frequently presents with cyclical pain during menstruation which is localised to a palpable mass in the abdominal wall especially in those who have had previous cesarean section. Complete surgical excision is curative.

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