Abdominal Wall Scar Endometriosis Post Cesarean Section: A Case Report
Author(s): 1* Ms. Santosh Kumari, 1 Ms. Gurpreet Kaur, 2Navita Sharma, 3Manpreet Kaur, 4Shaweta Sharma
Authors Affiliations:
1*Associate Professor, Department of Obstetrics and Gynaecological Nursing, M.M. College of Nursing, Maharishi Markandeshwar University, Kumarhatti, Solan, Himachal Pradesh, India.
1Assistant Professor, Department of Obstetrics and Gynaecological Nursing, Army College of Nursing, Jalandhar Cantt, Punjab, India.
2Assistant Professor, Department of Obstetrics and Gynaecological Nursing, College of Nursing Public Khalsa College For Women, Kandhala Jattan, Hoshiarpur, Punjab, India.
3Clinical Instructor, Department of Obstetrics and Gynaecological Nursing, Army College of Nursing, Jalandhar Cantt, Punjab, India.
4Clinical Instructor, Department of Obstetrics and Gynaecological Nursing, Army College of Nursing, Jalandhar Cantt, Punjab, India.
DOIs:10.2017/IJRCS/202605016     |     Paper ID: IJRCS202605016Endometriosis is the condition where functioning endometrial stromal and glandular tissue is present outside of the uterine cavity it is referred as endometriosis. Endometriosis affects 6–15% of reproductive-aged women, with abdominal wall endometriosis occurring in 1–12% of extra pelvic cases. Cesarean scar endometriosis, the most common abdominal wall endometriosis subtype, arises in 0.03–3.5% of post-cesarean patients, often presenting as cyclical pain or a palpable mass near surgical scars. The patient presents with non-specific symptoms such as cyclical abdominal pain near the site of a previous surgical scar and an abdominal lump with a cyclical increment in size, which is tender. Surgical excision was planned with the corresponding clinical features and USG data. After the surgical excision, the sample was sent for histopathological examination, and scar endometriosis was confirmed.
Ms. Santosh Kumari, Ms. Gurpreet Kaur, Navita Sharma, Manpreet Kaur, Shaweta Sharma (2026); Abdominal Wall Scar Endometriosis Post Cesarean Section: A Case Report, International Journal of Research Culture Society, ISSN(O): 2456-6683, Volume – 10, Issue – 5, Available on – https://ijrcs.org/
- Tangri, M. K., Lele, P., Bal, H., Tewari, R., & Majhi, D. (2016). Scar endometriosis: A series of 3 cases. Medical journal, Armed Forces India, 72(Suppl 1), S185–S188. https://doi.org/10.1016/j.mjafi.2016.07.002.
- Aljbawi, M., Redan, L., Al-Bitar, A., & Saghier, E. (2025). Abdominal wall endometriosis in a cesarean scar: a case report. Journal of medical case reports, 19(1), 239. https://doi.org/10.1186/s13256-025-05301-3.
- Scar Endometriosis: Causes, Symptoms, and Treatment | iCareBetter. (n.d.). Retrieved May 18, 2026, from https://icarebetter.com/endometriosis/education/endometrioma/decoding-the-mystery-of-scar-endometriosis/#h-etiology-unveiling-the-root-causes.
- Durairaj, A., Sivamani, H., & Panneerselvam, M. (2023). Surgical Scar Endometriosis: An Emerging Enigma. Cureus, 15(2), e35089. https://doi.org/10.7759/cureus.35089.
- Nigam A, Saxena P, Barla J, et al. (2014). Scar endometriosis: the menace of surgery: BMJ Case Report.BMJ Journal. CP 2014;2014:
- Danielpour, P. J., Layke, J. C., Durie, N., & Glickman, L. T. (2010). Scar endometriosis – a rare cause for a painful scar: A case report and review of the literature. The Canadian journal of plastic surgery = Journal canadien de chirurgie plastique, 18(1), 19–20. https://doi.org/10.1177/229255031001800110.
- Scar Endometriosis: Causes, Symptoms, and Treatment | iCareBetter. (n.d.). Retrieved May 18, 2026, from https://icarebetter.com/endometriosis/education/endometrioma/decoding-the-mystery-of-scar-endometriosis/#h-etiology-unveiling-the-root-causes.
- Radswiki, T., Kumar, K., & Shah, V. (2011). Caesarian scar endometriosis. Radiopaedia.Org. https://doi.org/10.53347/RID-15358.
- Gajjar, K. B., Mahendru, A. A., & Khaled, M. A. (2008). Caesarean scar endometriosis presenting as an acute abdomen: A case report and review of literature. Archives of Gynecology and Obstetrics, 277(2), 167–169. https://doi.org/10.1007/S00404-007-0431-4.
- Nelson, H. D., Darney, B. G., Ahrens, K., Burgess, A., Jungbauer, R. M., Cantor, A., … Fu, R. (2022). Associations of Unintended Pregnancy With Maternal and Infant Health Outcomes: A Systematic Review and Meta-analysis. JAMA, 328(17), 1714–1729. https://doi.org/10.1001/JAMA.2022.19097.

