Cesarean scar endometriosis – report of two cases
Abstract
Endometriosis is presence of functioning endometrial tissue outside the uterine cavity. Endometriosis can sometimes occur in a previous surgical scar. Scar endometriosis is rare and difficult to diagnose. It mostly follows obstetrical and gynecological surgeries. This condition is often confused with other surgical conditions. We are reporting two cases of scar endometriosis following cesarean section, which were misdiagnosed as stitch granuloma initially. Medical treatment was not helpful. Both the patients required wide surgical excision of the lesion. The pathogenesis, diagnosis and treatment of this condition are being discussed.
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Scar endometriosis involving the abdominal wall is distinctly uncommon.
“SE involving the abdominal wall, however, is distinctly uncommon.3,4”
From Scar endometriosis: A series of 3 cases (2016) · cites this paper as [4]
The time interval between surgery and clinical presentation of scar endometriosis varies from 3 months to 10 years.
“The time interval between surgery and clinical presentation varies in different series from 3 months to 10 years.4”
From Scar endometriosis: A series of 3 cases (2016) · cites this paper as [4]
Endometriosis in operative site scar tissue may present as a discrete painful mass (endometrioma) that can be confused clinically with surgical conditions such as inguinal hernia, incisional hernia, abdominal wall tumor, and stitch granulomas.
“Endometriosis in operative site scar tissue may present as a discrete mass (endometrioma) which may be painful and can be confused clinically with a variety of surgical conditions like inguinal hernia, incisional hernia, abdominal wall tumor, stitch granulomas, etc. 4”
From Scar endometriosis: A series of 3 cases (2016) · cites this paper as [4]
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- Authors
- Goel, P., Sood, S., Romilla, & Dalal, A.
- Affiliations
- Government Medical College and Hospital (IN)
- Venue
- Indian Journal of Medical Sciences
- Publisher
- Scientific Scholar
- Published
- 2005
- Volume
- 59
- Issue
- 11
- Pages
- 495
- ISSN
- 0019-5359 (ISSN-L)
- OpenAlex
- W2041215006
- Cited by
- 58
- References
- 0
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 4 · 2023: 2 · 2022: 2 · 2021: 1 · 2020: 2 · 2019: 1 · 2018: 1 · 2017: 5 · 2016: 1 · 2015: 8 · 2014: 7 · 2013: 4 · 2012: 3
- FWCI
- 1.40
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Indian Journal of Medical Sciences (publishedVersion)
- PubMed (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
- scar endometriosis, cesarean section, misdiagnosis, surgical excision, endometriosis pathogenesis, endometriosis diagnosis, endometriosis treatment
- MeSH terms
- Adult, Cesarean Section, Cicatrix, Endometriosis, Female, Humans, Pregnancy
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