Dual-site concurrent abdominal wall and lower uterine cesarean scar endometriosis: a case report.

Authors

Jhennis Megan Lacsamana, Satchel Genobaga, Christopher Genobaga

Published in

Case reports in women's health. Volume 52. Pages e00864. Epub Sep 30, 2026.

Abstract

Cesarean-section scar endometriosis (CSSE) is an uncommon complication in which endometrial-like tissue develops along the route of prior cesarean delivery. Abdominal wall CSSE is the most recognized presentation, whereas involvement of the uterine cesarean scar is less well-characterized. This report describes the case of a 37-year-old woman (gravida 2, para 2) with two prior cesarean deliveries who presented with cyclic left lower quadrant pain and a tender abdominal wall mass. She underwent exploratory laparotomy, total abdominal hysterectomy, bilateral salpingectomy, and excision of the abdominal wall mass. Histopathologic examination confirmed endometriosis involving both the abdominal Pfannenstiel scar and the lower uterine hysterotomy scar. This case demonstrates histopathologically confirmed endometriosis at two anatomically distinct cesarean-associated scar sites. Concurrent endometriosis may be underrecognized because uterine cesarean scars are not routinely sampled or specifically evaluated. CSSE should be considered in patients with prior cesarean delivery and cyclic incisional pain, even when preoperative imaging suggests benign pathology.

PMID:
42871432
Bibliographic data and abstract were imported from PubMed on 14 Oct 2026.

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