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Case ReportOpen Access
Cesarean Section Scar Endometriosis : A Case Report and Review of the Literature
Phupong V 
,
Triratanachat S
,
Triratanachat S VORAPONG PHUPONG, M.D.*,
SURANG TRIRATANACHAT, M.D.*
Cesarean section scar endometriosis is a rare event. The reported incidence is 0.03-1.7
per cent. Herein, the authors report a case of a 35-year-old woman, G
1
P
1
,
who presented with cyclic
pain at the left lateral edge of the pfannenstiel scar. The skin of this edge had also become dark
brown. She had undergone a cesarean section for cephalopelvic disproportion four years previously.
Physical examination revealed only mild tenderness and a dark brown nodule at the left lateral edge
of the scar. Pre-operative diagnosis was scar endometriosis, surgical excision was performed and
the tissue pathology confirmed the characteristic features of endometriosis. The post-operative course
was uneventful, and no recurrence was found during the two-year follow-up period. The literature
regarding cesarean section scar endometriosis was reviewed.
Key word : Cesarean Section, Scar, Endometriosis, Surgery
SURANG TRIRATANACHAT, M.D.*
Cesarean section scar endometriosis is a rare event. The reported incidence is 0.03-1.7
per cent. Herein, the authors report a case of a 35-year-old woman, G
1
P
1
,
who presented with cyclic
pain at the left lateral edge of the pfannenstiel scar. The skin of this edge had also become dark
brown. She had undergone a cesarean section for cephalopelvic disproportion four years previously.
Physical examination revealed only mild tenderness and a dark brown nodule at the left lateral edge
of the scar. Pre-operative diagnosis was scar endometriosis, surgical excision was performed and
the tissue pathology confirmed the characteristic features of endometriosis. The post-operative course
was uneventful, and no recurrence was found during the two-year follow-up period. The literature
regarding cesarean section scar endometriosis was reviewed.
Key word : Cesarean Section, Scar, Endometriosis, Surgery
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