Caesarean Scar Endometriosis

Abstract

Endometriosis is a common benign gynecologic disorder defined as the presence of endometrial glands and stroma outside of the normal location. The overall prevalence is 8–15% in women of reproductive age group. Scar endometriosis is a rare disease, and is difficult to diagnose. It is commonly seen following obstetrical and gynecological surgeries. The symptoms are non-specific, typically involving abdominal wall pain at the incision site at the time of menstruation and palpable tender mass in the incision site. The diagnosis is frequently made only after excision of the diseased tissue and its histological analysis. We present here a case of abdominal wall scar endometriosis in a woman who had undergone a caesarean section four years ago. Surgical excision led to the diagnosis of scar endometriosis. The pathogenesis, diagnosis and treatment of this rare condition are discussed.Keywords: Abdominal wall; caesarean section; painful scar; scar endometriosis.

Endometriosis in cesarean scars: A rare case report with clinical, imaging, and histopathological insights

“…Scar endometriosis typically presents as a nodule in the lower anterior abdominal wall, accompanied by varying degrees of pain that correlate with the menstrual cycle. 6 Our case aligns with this typical presentation, as the patient experienced severe lower abdominal pain and the presence of a nodular swelling. However, at times, the pain may be noncyclical.…”

A Typical Presentation of Cesarean Section Scar Endometriosis: A Case Report

“…According to a systematic review and meta-analysis, the prevalence of endometriosis in Middle Eastern women who had laparoscopy was approximately 12.9% [ 5 ]. Scar endometriosis can be seen after procedures such as C-sections, episiotomy, hysterectomy, and tubal ligation [ 6 ]. In addition, the incidence of endometriosis after cesarean section ranges between 0.03% and 0.4%.…”

An increasing trend of iatrogenic scar endometriosis after lower segment cesarean section

“…The differential diagnosis of ISE may include other causes of abdominal wall mass like desmoid tumor, hematoma, fibrosis, suture granuloma, keloid scar, nodular fasciitis, and incisional hernia 3,7 .…”