SAGE Open Medical Case Reports (Mar 2024)

Abdominal wall endometriosis in cesarean scar: A case report

  • Willbroad Kyejo,
  • Brenda Moshi,
  • Euphraim Massanga,
  • Gregory Ntiyakunze,
  • Miriam Mgonja,
  • Munawar Kaguta,
  • Ernest Mdachi

DOI
https://doi.org/10.1177/2050313X241237333
Journal volume & issue
Vol. 12

Abstract

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Abdominal wall endometriosis refers to the presence of endometrial tissue within surgical scars, most commonly occurring following gynecological procedures such as cesarean sections. This case report presents a rare case of abdominal wall endometriosis in a cesarean scar. The patient, a 32-year-old woman with a history of two previous cesarean sections, presented with cyclic pain and swelling in the lower abdominal region. Physical examination revealed a tender, well-defined mass within the cesarean scar. Surgical excision of the mass was performed, and histopathological examination confirmed the presence of endometrial tissue. This case highlights the importance of considering abdominal wall endometriosis in the differential diagnosis of patients presenting with cyclic pain or swelling in previous surgical scars. Prompt diagnosis and appropriate management can help alleviate symptoms and prevent complications.