A Case Report of Cesarean Scar Site Endometriosis: Diagnosis and Management

Medhat Monir K Fadel, Mariam Sherif S Zaki
In: The Egyptian Journal of Hospital Medicine · 2020 · vol. 81(5) , pp. 2069–2070 · doi:10.21608/ejhm.2020.126403 · W3109198528
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This case report details the diagnosis and surgical management of a rare Cesarean scar site endometriosis presenting with cyclic pain and bleeding in a 33-year-old woman.

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Abstract

Endometriosis is a frequent clinical problem in women of reproductive age, which means the presence and proliferation of endometrial glands and stroma outside the uterus, the most common site of endometriosis is in the pelvic cavity, extra pelvic endometriosis as on the surgical scar (as caesarean section, laparoscopic incision, episiotomy, and hysterectomy scars) which is relatively rare, it is clinically presented by chronic pelvic pain, dysmenorrhea, dyspareunia, subfertility, infertility, and poor both maternal & fetal outcomes and even stillbirth. Caesarean section endometriosis is presented with cyclic pain and bleeding from the scar site. Our 33- year case presented with a scar site endometriosis after the third Cesarean section. MRI was done to exclude uterine fistula and a definite diagnosis has been made by histopathology. Management involved different modalities of treatment including medical management, Mirena coil insertion. However, the definite treatment was surgical excision of the endometriotic lesion and reclosure of the skin incision.

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Condition tags

endometriosischronic_pelvic_paindysmenorrheadyspareuniainfertility

Citation neighborhood

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