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Case Report | Histopathology | Volume 15 Issue 5, May 2026 | Pages: 1918 - 1920 | India
Cesarean Scar Endometriosis Mimicking Suture Granuloma: A Rare Case Report
Abstract: Introduction: Scar endometriosis is an uncommon form of extra-pelvic endometriosis that occurs when endometrial tissue develops within or near a surgical scar, most often following cesarean section. Due to its nonspecific presentation, it is frequently misdiagnosed. Case Report: A 30-year-old woman presented with pain and swelling at the site of a previous cesarean section scar. The pain showed cyclical variation with menstruation. Clinical examination revealed a firm, tender, non-mobile mass. Ultrasonography suggested a hypoechoic lesion with internal vascularity, initially raising suspicion of a benign condition such as suture granuloma. The mass was surgically excised and examined histologically, which confirmed the presence of endometrial glands and stroma consistent with scar endometriosis. Discussion: The patient underwent complete surgical excision of the lesion along with surrounding tissue. Recovery was uneventful, and no recurrence was noted on follow-up. Surgical removal remains the definitive treatment, as medical therapy offers only temporary symptom relief. Conclusion: Scar endometriosis should be considered in women presenting with a a surgical scar, especially with cyclical symptoms. Early diagnosis and complete excision are essential for effective management. Increased awareness and careful surgical techniques may help reduce its occurrence.
Keywords: Scar endometriosis, cesarean section, surgical scar, cyclical pain, surgical excision
How to Cite?: Dr. Nitika Chawla, Dr. Divya Sardana, Dr. Monika B Gathwal, Dr. Kulwant Singh, Dr. Swaran Kaur, Dr. Parveen Kundu, "Cesarean Scar Endometriosis Mimicking Suture Granuloma: A Rare Case Report", Volume 15 Issue 5, May 2026, International Journal of Science and Research (IJSR), Pages: 1918-1920, https://www.ijsr.net/getabstract.php?paperid=SR26530195742, DOI: https://dx.doi.org/10.21275/SR26530195742