Parietal endometriosis on cesarean scar: Study of a case

M Benkhaldoun, S. Karti, A. Elyoussfi, Safa Sabur, A El Harti, Mounia Diouri
In: International Journal of Case Reports in Surgery · 2024 · vol. 6(1) , pp. 30–34 · doi:10.22271/27081494.2024.v6.i1a.97 · W4399291145
article OA: hybrid CC0
📄 Open PDF View on OpenAlex View at publisher

Abstract

Objective: Parietal endometriosis is a rare pathology. It can occur on all scars, most often during surgical procedures with hysterotomy. It affects 0.03 to 0.4% of cesarean scars. Patients and method: we report the case of abdominal wall endometriosis treated in the plastic surgery department of the Ibn Rochd hospital center in Casablanca. Results: The age of our patient is 32 years old. She has two previous cesarean sections with Pfannenstiel type laparotomies. The interval between the intervention and the appearance of symptoms is three years. She presented a clinical picture made up of pain punctuated by the menstrual cycle. The treatment was surgical type of excision. The lesion invades the rectus abdominis muscle. The size of the lesion is 3 cm. There were no complications or recurrence. Discussion and Conclusion: Local endometrial cell transplantation is the most likely pathophysiological mechanism to explain parietal endometriosis. The typical clinical picture combines swelling and pain punctuated by the menstrual cycle, but it is not always complete. Medical imaging makes little contribution. Surgical treatment must be broad enough to avoid any recurrence. No means of prevention has proven its effectiveness.

My notes (saved in your browser only)

Condition tags

endometriosis

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (20)

Source provenance

openalex
last seen: 2026-06-04T00:00:01.174412+00:00
License: CC0 · commercial use OK