Scar endometriosis: a rare complication of cesarean section

Sugandha Goel; Bina Goel; Aakanksha Tiwari; Maitri Modh

doi:10.18203/2320-1770.ijrcog20254315

Authors

Sugandha Goel Department of Obstetrics and Gynaecology, Kamla Nagar Hospital, Jodhpur, Rajasthan, India
Bina Goel Department of Obstetrics and Gynaecology, Kamla Nagar Hospital, Jodhpur, Rajasthan, India
Aakanksha Tiwari Department of Obstetrics and Gynaecology, Kamla Nagar Hospital, Jodhpur, Rajasthan, India
Maitri Modh Department of Obstetrics and Gynaecology, Kamla Nagar Hospital, Jodhpur, Rajasthan, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20254315

Keywords:

Scar endometriosis, Incisional endometriosis, Cesarean section, Cyclical pain, Surgical excision

Abstract

Scar endometriosis, also known as incisional endometriosis, is a rare condition characterized by the presence of functional endometrial tissue in surgical scars, most commonly after cesarean sections or gynecological procedures. We report a case of 34-year-old woman (P2L2) presented with a pain and swelling in the previous LSCS abdominal scar since 1year. Imaging revealed a hypoechoic lesion suggestive of endometriosis. Surgical excision was performed, and histopathology confirmed the diagnosis. Postoperative follow-up indicated complete symptom resolution and no recurrence on follow up. Wide local surgical excision is the definitive treatment for permanent cure.

References

Agarwal A, Fong YFY. Cutaneous endometriosis. Singapore Med J. 2008;49(9):704-9.

Nominato NS, Prates LFVS, Lauar I, Morais J, Maia L, Geber S. Caesarean section greatly increases risk of scar endometriosis. Eur J Obstetrics Gynecol Reproductive Biol. 2010;152:83–5.

Horton JD, Dezee KJ, Ahnfeldt EP, Wagner M. Abdominal wall endometriosis: a surgeon's perspective and review of 445 cases. Am J Surg. 2008;196(1):75-78.

Nirula R, Greaney GC. Incisional Endometriosis: AnUnderappreciated Diagnosis in General Surgery. J Am CollSurg. 2000;190(4):404-7.

Horton JD, Dezee KJ, Ahnfeldt EP, Wagner M. Abdominal wall endometriosis: a surgeon’s perspective and review of 445 cases. Am J Surg. 2008;196:207–12.

Sengul I, Sengul D, Kahyaoglu S, Kahyaoglu I. Incisional endometriosis: a report of 3 cases. Can J Surg. 2009; 52(5):444–5.