Caesarean scar endometriosis: a case report
Open accessAbstract
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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Gonadotropin-releasing hormone analogs help alleviate clinical symptoms of SCE but do not reduce the size and recurrence after cessation of medication is constant.
“For the non-surgical, we could use gonadotropin-releasing hormone analogs which help alleviate clinical symptoms, but this method did not reduce the size and recurrence after the cessation of medication is constant [19].”
From Case report: Caesarean scar endometriosis – A rare entity (2021) · cites this paper as [19]
FNAC carries an increasing risk of producing new endometriotic implants at the puncture site.
“Some studies reported that we can use fine-needle aspiration citology (FNAC), instead of its usability of confirming definitive diagnosis, we must be aware about the increasing risk of producing new endometriotic implants at the puncture side [19].”
From Case report: Caesarean scar endometriosis – A rare entity (2021) · cites this paper as [19]
Needle biopsies are useful for definitive diagnosis, but they may result in the implantation of new endometrial tissue.
“While needle biopsies are useful for definitive diagnosis, it should be noted that they may result in the implantation of new endometrial tissue [14].”
From Resection and Abdominal Wall Reconstruction for Cesarean Scar Endometriosis (2022) · cites this paper as [14]
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Cites
Abdominal Wall Endometriosis: Clinical Presentation and Imaging Features with Emphasis on Sonography
Hensen, J.-H. J., Van Breda Vriesman, A. C., & Puylaert, J. B. C. M. (2006) · American Journal of Roentgenology · doi:10.2214/ajr.04.1619 · Cited by 254 · see citing works
Douglas, C., & Rotimi, O. (2004) · Journal of Obstetrics and Gynaecology · doi:10.1080/01443610400009568 · Cited by 179 · see citing works
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Vellido-Cotelo, R., Muñoz-González, J. L., Oliver-Pérez, M. R., de la Hera-Lázaro, C., Almansa-González, C., Pérez-Sagaseta, C., & Jiménez-López, J. S. (2015) · BMC Women's Health · doi:10.1186/s12905-015-0170-9 · Cited by 77 · see citing works
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Cesarean scar endometrioma: Case series
Çöl, C. (2014) · World Journal of Clinical Cases · doi:10.12998/wjcc.v2.i5.133 · Cited by 21 · see citing works
Clinicopathological Features of Endometriosis in Abdominal Wall – Clinical Analysis of 151 Cases
Zhang, J., Ding, D., & Liu, X. (2015) · Journal of Minimally Invasive Gynecology · doi:10.1016/j.jmig.2015.08.644 · Cited by 16 · see citing works
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Research works printed but not linked: 1
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Case report: Caesarean scar endometriosis – A rare entity
Purbadi, S., Purwoto, G., Winarto, H., Nuryanto, K. H., Scovani, L., & Sotarduga, G. E. (2021) · International Journal of Surgery Case Reports · doi:10.1016/j.ijscr.2021.106204 · Cited by 9 · see citing works
Resection and Abdominal Wall Reconstruction for Cesarean Scar Endometriosis
Takaya, K., Shido, H., & Yamazaki, S. (2022) · Case Reports in Medicine · doi:10.1155/2022/7330013 · Cited by 3 · see citing works
“While needle biopsies are useful for definitive diagnosis, it should be noted that they may result in the implantation of new endometrial tissue [14].”
BackgroundCases of scar endometriosis after caesarean section
Dorji, N., Tshering, S., & Choden, S. (2021) · Bhutan Health Journal · doi:10.47811/bhj.118 · Cited by 2 · see citing works
Scar Endometriosis: A Case Report of a Rare Complication of Laparotomy for Ectopic Pregnancy
Kotdawala, K., Agrawal, M., & Ambatkar, V. (2021) · Journal of South Asian Federation of Obstetrics and Gynaecology · doi:10.5005/jp-journals-10006-1866 · Cited by 1 · see citing works
Scar endometriosis: a rare entity
Dhiman, K., Guleria, S., & Jharaik, H. (2022) · International Journal of Reproduction Contraception Obstetrics and Gynecology · doi:10.18203/2320-1770.ijrcog20222328
Abdominal wall endometriosis in the caesarean section surgical scar- a case report
Heera Shenoy, T., Shivakumar, Kuniyil, S. A., Sabarmathi, C., Geethanjali, R., Lavatt, D., Nidhi, N. T., Singh, M. N., & Shamla, P. (2022) · International Journal of Reproduction Contraception Obstetrics and Gynecology · doi:10.18203/2320-1770.ijrcog20222501
Scar endometriosis: a case report
Nain, P., Mehta, K., Arun, A., & Jain, P. (2025) · International Journal of Reproduction Contraception Obstetrics and Gynecology · doi:10.18203/2320-1770.ijrcog20252764
- Authors
- Cherrabi, F., Moukit, M., Kouach, J., Rahali, D. M., & Dehayni, M.
- Venue
- International Journal of Reproduction Contraception Obstetrics and Gynecology
- Publisher
- Medip Academy
- Published
- 2018-02-27
- Volume
- 7
- Issue
- 3
- Pages
- 1221
- ISSN
- 2320-1770 (ISSN-L)
- 2320-1789
- OpenAlex
- W2791590017
- Cited by
- 7
- References
- 7
- Citations by year
- 2025: 1 · 2022: 3 · 2021: 3
- FWCI
- 0.80
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Locations
- International Journal of Reproduction Contraception Obstetrics and Gynecology (publishedVersion)
- 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
- endometriosis, cesarean section, abdominal scar, pelvic mass, surgical excision, histopathological diagnosis, radiological imaging, early diagnosis
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