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Scar endometriosis diagnosed as incisional hernia before surgery
  1. Nisa Utami Ika Permatasari1,
  2. Fadlan Fediansyah Hutabarat1 and
  3. Henny Meitri Andrie Rachmasari Putri2
  1. 1Surgery, Kurnia Hospital, Cilegon, Banten, Indonesia
  2. 2Obstetric Gynecology, Gatot Soebroto Army Central Hospital, Central Jakarta, Jakarta, Indonesia
  1. Correspondence to Nisa Utami Ika Permatasari; nisauip{at}


Scar endometriosis is a rare condition highly related to history of abdominal surgery. Due to the low incidence, it is often misdiagnosed. A woman presented to the surgery outpatient clinic with a mass near her C-section scar. Physical examination and ultrasound suggested Incisional Hernia while intraoperative finding revealed a mass suggestive of endometriosis which later confirmed by pathology examination. Scar endometriosis is a common subtype of extra-pelvic endometriosis. Iatrogenic transplantation is speculated to be its etiopathogenesis. Preoperatively, it is challenging to differentiate endometriosis from another abdominal masses. The definitive diagnosis is based on laparoscopy or surgery with histological verification. Chronic pain is complex and often involves multiple factors beyond simply a diagnosis of endometriosis, but it is important to think of endometriosis on women patients presenting with a mass and cyclic pain with history of surgery involving a large amount of endometrial cell.

  • reproductive medicine
  • general surgery

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  • Contributors NUIP, general practitioner, conceptualised and prepared the manuscript; FFH, surgeon, supervised the manuscript; HMARP, gynaecologist, supervised the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.