Scar endometriosis at the site of cesarean section
Open accessAbstract
OBJECTIVE: Scar endometriosis is a rare condition. We report a case of scar endometriosis occurring at the site of an old cesarean section scar. CASE REPORT: A 29-year-old multiparous woman complained of painful sensation during menstruation for 2 years that occurred at the site of her cesarean section surgical scar. On examination, there was a firm nodule measuring 2 x 1.5 cm in size at the mid-point of the scar. In view of the possibility of scar endometriosis, the mass was completely excised. Pathologic findings were compatible with scar endometriosis. Postoperatively, danazol was prescribed to prevent recurrence. CONCLUSION: A surgical scar becoming painful and swollen during menstruation is the classic symptom of scar endometriosis. Causes include iatrogenic transplantation of endometrium to the surgical wound. Surgical excision is the main treatment. Postoperative GnRH-agonist or danazol may be prescribed to patients with scar endometriosis.
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About 20% of cases of scar endometriosis present with a history of variation in pain intensity with the menstrual cycle.
“About 20% of cases present with history of variation in pain intensity with menstrual cycle.9”
From Scar endometriosis: A series of 3 cases (2016) · cites this paper as [9]
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Cites
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Scar Endometriosis – a Rare Cause for a Painful Scar: A Case Report and Review of the Literature
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Scar endometriosis: A series of 3 cases
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Scar endometriosis - a rare cause for a painful scar: A case report and review of the literature
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- Authors
- Ding, D.-C., & Hsu, S.
- Affiliations
- Tzu Chi University (TW)
- Buddhist Tzu Chi General Hospital (TW)
- Corresponding author
- Ding, Dah-Ching
- ORCID
- Ding, Dah-Ching
- Venue
- Taiwanese Journal of Obstetrics and Gynecology
- Publisher
- Elsevier BV
- Published
- 2006-09
- Volume
- 45
- Issue
- 3
- Pages
- 247-249
- ISSN
- 1028-4559 (ISSN-L)
- OpenAlex
- W2043397638
- Cited by
- 37
- References
- 15
- Citations by year
- 2026: 1 · 2025: 1 · 2023: 3 · 2022: 3 · 2021: 2 · 2020: 2 · 2019: 2 · 2018: 4 · 2017: 1 · 2016: 2 · 2015: 2 · 2014: 3 · 2013: 3 · 2012: 2
- FWCI
- 1.04
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- Locations
- Taiwanese Journal of Obstetrics and Gynecology (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Obstetrics and Gynecology › Gynecological conditions and treatments
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ectopic Pregnancy Diagnosis and Management
- Keywords
- scar endometriosis, cesarean section scar, dysmenorrhea, surgical excision, danazol, GnRH agonist, recurrence prevention
- MeSH terms
- Adult, Cesarean Section, Cicatrix, Endometriosis, Female, Humans
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