Cases of scar endometriosis after caesarean section

Namkha Dorji, Sangay Tshering, Sonam Choden
In: Bhutan Health Journal · 2021 · vol. 7(1) , pp. 34–37 · doi:10.47811/bhj.118 · W3179243927
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This paper reports two cases of scar endometriosis after caesarean section, one misdiagnosed as a keloid for 12 years, highlighting the need for clinician awareness of varied presentations.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 · read from full text ⓘ

This paper reports two cases of scar endometriosis arising in surgical scars after caesarean section, describing contrasting diagnostic pathways. In one case, the lesion was misdiagnosed as a keloid for 12 years, while in the other case, the condition was not diagnosed despite characteristic presenting symptoms. Both cases were managed with surgical excision with free resection margins, followed by histopathological confirmation of the diagnosis. The authors conclude that clinician awareness of the condition’s variable presentation is needed to enable timely diagnosis, directly relating to endometriosis in the context of post-caesarean scar endometriosis. This paper is centrally about endometriosis — specifically scar endometriosis developing after caesarean section.

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Abstract

Introduction: The presence of functional endometrial tissue in the surgical scar, which commonly follows caesarean section is called scar endometriosis. It is a very rare condition which is commonly misdiagnosed. Case report: We report two cases of scar endometriosis which developed after caesarean section. One case was misdiagnosed as a keloid for a long duration (12 years) and other one was not diagnosed despite the characteristic presenting symptoms. Both the cases underwent surgical excision with free resection margins and histopathological confirmation of diagnosis. Conclusions: Clinicians must be aware of varying presentations of scar endometriosis to ensure timely diagnosis and treatment.
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Introduction

The presence of functional endometrial tissue in the surgical scar, which commonly follows caesarean section is called scar endometriosis. It is a very rare condition which is commonly misdiagnosed. Case report: We report two cases of scar endometriosis which developed after caesarean section. One case was misdiagnosed as a keloid for a long duration (12 years) and other one was not diagnosed despite the characteristic presenting symptoms. Both the cases underwent surgical excision with free resection margins and histopathological confirmation of diagnosis.

Conclusions

Clinicians must be aware of varying presentations of scar endometriosis to ensure timely diagnosis and treatment. Downloads Published Issue Section License Copyright (c) 2021 Dr Namkha Dorji, Dr Sangay Tshering, Dr Sonam Choden This work is licensed under a Creative Commons Attribution 4.0 International License. BHJ allow to read, download, copy, distribute, print, search, or link to the full texts of its articles and allow readers to use them for any other lawful purpose. The author(s) are allowed to retain publishing rights without restrictions.

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Condition tags

endometriosis

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