Evidence map›Paper›PMID 40970010›Full record

ArticleCureus2025

Cesarean Section Scar Endometriosis: A Case Report From Sudan.

Mohamed Elkhazein, Salma Ahmed, Mohamed B Ahmed, Mohammed A Ismail, Tafaol H Mokhtar, Ahazeej Gurashi, Hala Bashir

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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0 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Mohamed ElkhazeinObstetrics and Gynaecology, Al-Butana University, Rufaa, SDN.
Salma AhmedObstetrics and Gynaecology, latifa Hospital, Dubai, ARE.
Mohamed B AhmedObstetrics and Gynaecology, Al-Butana University, Rufaa, SDN.
Mohammed A IsmailSurgery, Abu Hamad Teaching Hospital, Abu Hamad, SDN.
Tafaol H MokhtarObstetrics and Gynaecology, University of Medical Sciences & Technology, Khartoum, SDN.
Ahazeej GurashiObstetrics and Gynaecology, Al-Hayat National Hospital, Khamis Mushait, SAU.
Hala BashirObstetrics and Gynaecology, Latifa Hospital, Dubai, ARE.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cesarean scar endometriosis is a rare form of endometriosis characterized by the presence of functional endometrial tissue within a surgical scar. Diagnosing this condition is challenging, as it is frequently misdiagnosed as granulomas, hernias, abscesses, hematomas, or neoplasms. The classic triad of symptoms includes a positive surgical history, cyclical pain, and a mass at the surgical scar. The presented case highlights the pivotal role of imaging modalities such as MRI, along with histopathological confirmation, in establishing a definitive diagnosis. Surgical excision with clear margins is the mainstay of treatment and remains superior to medical therapy in terms of long-term outcomes. Diagnosis relies on a high index of clinical suspicion. Clinical evaluation, along with ultrasound, computed tomography (CT), or magnetic resonance imaging (MRI), aids in diagnosis. Surgical intervention is the definitive treatment, providing specimens for histopathological confirmation. We report the case of a 27-year-old woman with a history of one cesarean delivery who presented with a progressively enlarging, painful mass over her lower abdominal scar. The pain was cyclical and associated with menstruation. MRI revealed a heterogeneous mass not reaching rectus sheath. Surgical excision of the lesion was performed, and histopathological examination confirmed the diagnosis of endometriosis. The patient recovered uneventfully, with complete resolution of symptoms and no recurrence at six-month follow-up. This case highlights the importance of considering scar endometriosis in women with a history of cesarean section who present with cyclical pain and a mass at the scar site. Early recognition and surgical excision are essential for symptom relief and to prevent recurrence. Increased clinical awareness is crucial to avoid misdiagnosis and unnecessary delays in treatment.

Indexed as

cesareancesarean complicationscutaneous endometriosisendometriosisscar site endometriosis

Identifiers

PMID40970010
PMCPMC12441995

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