{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T15:06:35Z","timestamp":1776783995716,"version":"3.51.2"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T00:00:00Z","timestamp":1730419200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T00:00:00Z","timestamp":1730419200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,9,9]],"date-time":"2024-09-09T00:00:00Z","timestamp":1725840000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and importance:<\/jats:title>\n                    <jats:p>Post-cesarean section decidualized endometriosis is a rare phenomenon where ectopic endometrial cells undergo changes, such as atypia, under the influence of high progesterone levels at the site of cesarean section. This phenomenon can create a diagnostic challenge as it mimics the characteristics of malignancy to some extent.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>\n                      We report a case of a 38-year-old G\n                      <jats:sub>6<\/jats:sub>\n                      P\n                      <jats:sub>2<\/jats:sub>\n                      woman who was electively referred to the OB ward for a cesarean section. Ultrasonography revealed a 38 \u00d7 29 \u00d7 26 mm lobulated solid lesion within the rectus abdominis muscle located in the midline of the suprapubic abdominal wall in the 16th week of gestation. Histological evaluation of the specimen showed endometrial glands surrounded by severely decidualized stroma.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical discussion:<\/jats:title>\n                    <jats:p>To our knowledge, we present the ninth case report of decidualized endometriosis located on a post-cesarean section scar. Our case was in the younger demographics and histopathologically her resected tissue contained glandular structures. There was no past medical history of endometriosis. Extra pelvic localization of the tissue could have led us to a diagnostic pitfall.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Understanding this phenomenon's pathologic and clinical characteristics can help pathologists and surgeons to rule out malignancy and avoid conspicuous diagnostic errors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2024.110274","type":"journal-article","created":{"date-parts":[[2024,9,10]],"date-time":"2024-09-10T03:52:16Z","timestamp":1725940336000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Pregnancy-related decidualization in post-cesarean section scar endometriosis: A case report"],"prefix":"10.1097","volume":"124","author":[{"given":"Amin","family":"Kavari","sequence":"first","affiliation":[{"name":"Student Research Committee, Fasa University of Medical Sciences, Fasa, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Babak","family":"Samizadeh","sequence":"additional","affiliation":[{"name":"Clinical Research Development Unit of Valiasr Hospital, Fasa University of Medical Sciences, Fasa, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maryam","family":"Maghbool","sequence":"additional","affiliation":[{"name":"Clinical Research Development Unit of Valiasr Hospital, Fasa University of Medical Sciences, Fasa, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"issue":"13","key":"R2-5-20260421","doi-asserted-by":"crossref","first-page":"1244","DOI":"10.1056\/NEJMra1810764","article-title":"Endometriosis","volume":"382","author":"Zondervan,","year":"2020","journal-title":"N. Engl. J. Med."},{"issue":"8","key":"R3-5-20260421","article-title":"Cesarean section: a potential and forgotten risk for abdominal wall endometriosis","volume":"13","author":"Ananias,","year":"2021","journal-title":"Cureus"},{"issue":"4","key":"R4-5-20260421","doi-asserted-by":"crossref","first-page":"828","DOI":"10.1016\/j.prp.2019.01.024","article-title":"Pregnancy-related decidualization of subcutaneous endometriosis occurring in a post-caesarean section scar: case study and review of the literature","volume":"215","author":"D'Agostino,","year":"2019","journal-title":"Pathol. Res. Pract."},{"issue":"8","key":"R5-5-20260421","doi-asserted-by":"crossref","first-page":"777","DOI":"10.1111\/j.1600-0560.2012.01907.x","article-title":"Cutaneous deciduosis: a report of two cases of an unusual pseudomalignancy","volume":"39","author":"Natale,","year":"2012","journal-title":"J. Cutan. Pathol."},{"issue":"5","key":"R6-5-20260421","doi-asserted-by":"crossref","first-page":"e58","DOI":"10.1097\/DAD.0b013e3181f704f6","article-title":"Hypodermal decidualized endometrioma with aberrant cytokeratin expression. A lesion mimicking malignancy","volume":"33","author":"Val-Bernal,","year":"2011","journal-title":"Am. J. Dermatopathol."},{"issue":"1","key":"R7-5-20260421","doi-asserted-by":"crossref","first-page":"49","DOI":"10.5146\/tjpath.2009.00961","article-title":"Tumor-like myxoid change in decidualized scar endometriosis of pregnancy: a case report and review of literature","volume":"25","author":"G\u00fcnal,","year":"2009","journal-title":"Turk. J. Pathol."},{"issue":"5","key":"R8-5-20260421","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1002\/dc.21029","article-title":"Decidualized endometrioma diagnosed by fine needle aspiration cytology: a case report with immunocytochemical confirmation","volume":"37","author":"El-Gohary,","year":"2009","journal-title":"Diagn. Cytopathol."},{"issue":"6","key":"R9-5-20260421","first-page":"957","article-title":"Cytodiagnosis and comparison of nondecidualized and decidualized endometriosis of the abdominal wall: a report of two cases","volume":"36","author":"Berardo,","year":"1992","journal-title":"Acta Cytol."},{"issue":"2","key":"R10-5-20260421","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1097\/00000372-198204000-00012","article-title":"Cutaneous decidualized endometriosis. A pseudomalignancy","volume":"4","author":"Pellegrini,","year":"1982","journal-title":"Am. J. Dermatopathol."},{"issue":"1","key":"R11-5-20260421","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1111\/j.1600-0560.1993.tb01257.x","article-title":"Myxoid change in decidualized scar endometriosis mimicking malignancy","volume":"20","author":"Nogales,","year":"1993","journal-title":"J. Cutan. Pathol."},{"issue":"2","key":"R12-5-20260421","doi-asserted-by":"crossref","first-page":"568","DOI":"10.1016\/0002-9378(90)90431-6","article-title":"Diagnosis and clinical presentation of endometriosis","volume":"162","author":"Adamson,","year":"1990","journal-title":"Am. J. Obstet. Gynecol."},{"issue":"5","key":"R13-5-20260421","first-page":"L98","article-title":"Scar endometriosis - a case report","volume":"13","author":"Bose,","year":"2023","journal-title":"Int. J. Life Sci. Pharma Res."},{"issue":"12","key":"R14-5-20260421","article-title":"Catamenial rectus abdominis pain associated with scar endometriosis status-post low transverse cesarean section","volume":"10","author":"Wasserman,","year":"2018","journal-title":"Cureus"},{"issue":"3","key":"R15-5-20260421","doi-asserted-by":"crossref","first-page":"478","DOI":"10.1016\/j.jmig.2017.01.005","article-title":"Risk factors, clinical presentation, and outcomes for abdominal wall endometriosis","volume":"24","author":"Khan,","year":"2017","journal-title":"J. Minim. Invasive Gynecol."},{"issue":"5","key":"R16-5-20260421","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1097\/JS9.0000000000000373","article-title":"The SCARE 2023 guideline: updating consensus surgical CAse REport (SCARE) guidelines","volume":"109","author":"Sohrabi,","year":"2023","journal-title":"Int. J. Surg. Lond. Engl."}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261224010551?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261224010551?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2024.110274","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T14:03:18Z","timestamp":1776780198000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2024.110274"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11]]},"references-count":15,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2024.110274","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2024,11]]},"assertion":[{"value":"2024-08-05","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-06","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}