Caesarean scar endometriosis: a case report

Fatimazahra Cherrabi, Mounir Moukit, Jaouad Kouach, Driss Moussaoui Rahali, Mohammed Dehayni
In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology · 2018 · vol. 7(3) , pp. 1221 · doi:10.18203/2320-1770.ijrcog20180922 · W2791590017
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This case report details a 35-year-old woman with a painful lump at her caesarean scar, which was diagnosed as endometriosis via clinical examination, imaging, and histological confirmation after surgical excision.

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

This paper reports a case of caesarean scar endometriosis in a 35-year-old woman who presented with a painful lump at the site of a prior caesarean section. The authors describe preoperative diagnosis based on clinical examination and radiological imaging, with confirmation by histology after large surgical excision of the mass. The main limitation is that the report is a single case, reflecting the rarity of abdominal scar endometriosis and providing limited generalizable evidence beyond this example. This paper is centrally about endometriosis — it specifically describes caesarean scar endometriosis as a case report.

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Abstract

Endometriosis is a common disorder in women of reproductive age but is rarely observed in abdominal scar after caesarean section. The authors report a case of 35-year-old woman referred for a painful lump at caesarean scar. Preoperative diagnosis of caesarean scar endometriosis was made on the basis of clinical examination and radiological imaging and confirmed histologically after large surgical excision of the mass. Increasing awareness of this rare entity among clinicians can help in early diagnosis and appropriate treatment.
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Caesarean scar endometriosis: a case report DOI: https://doi.org/10.18203/2320-1770.ijrcog20180922Keywords: Caesarean section, Scar endometriosis, Surgical excisionAbstract Endometriosis is a common disorder in women of reproductive age but is rarely observed in abdominal scar after caesarean section. The authors report a case of 35-year-old woman referred for a painful lump at caesarean scar. Preoperative diagnosis of caesarean scar endometriosis was made on the basis of clinical examination and radiological imaging and confirmed histologically after large surgical excision of the mass. Increasing awareness of this rare entity among clinicians can help in early diagnosis and appropriate treatment. Metrics References Zhang J, Liu X. Clinicopathological features of endometriosis in abdominal wall - clinical analysis of 151 cases. Clin Exp Obstet Gynecol. 2016;43:379-83. Douglas C, Rotimi O. Extragenital endometriosis: a clinicopathological review of a Glasgow hospital experience with case illustrations. J Obstet Gynaecol. 2004;24:804-8. Ideyi SC, Schein M, Niazi M, Gerst PH. Spontaneous endometriosis of the abdominal wall. Digestive Surg. 2003;20:246-8. Çöl C, Yılmaz EE. Cesarean scar endometrioma: Case series. World J Clin Cases. 2014;2:133-6. Hensen JH, Vriesman VBAC, Puylaert JB. Abdominal wall endometriosis: clinical presentation and imaging features with emphasis on sonography. AJR. 2006;186:616-20. Vellido-Cotelo R, Muñoz-González JL, Oliver-Pérez MR, Hera-Lázaro CD, Almansa-González C, Pérez-Sagaseta C, et al. Endometriosis node in gynaecologic scars: a study of 17 patients and the diagnostic considerations in clinical experience in tertiary care center. BMC Women’s Health 2015;15:13. Gabriel A, Shores JT, Poblete M, Victorio A, Gupta S. Abdominal wall endometrioma: case report and review. Ann Plastic Surg. 2007;58:691-3. Shalin SC, Haws AL, Carter DG, Zarrin-Khameh N. Clear cell adenocarcinoma arising from endometriosis in abdominal wall cesarean section scar: a case report and review of the literature. J Cutaneous Pathol. 2012;39:1035-41.

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endometriosis

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