{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T23:26:54Z","timestamp":1782602814768,"version":"3.54.5"},"reference-count":16,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,4,9]]},"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:p>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.<\/jats:p>","DOI":"10.1136\/bcr-2020-239923","type":"journal-article","created":{"date-parts":[[2021,5,4]],"date-time":"2021-05-04T12:26:54Z","timestamp":1620131214000},"page":"e239923","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Scar endometriosis diagnosed as incisional hernia before surgery"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5383-7571","authenticated-orcid":false,"given":"Nisa Utami Ika","family":"Permatasari","sequence":"first","affiliation":[{"name":"Surgery, Kurnia Hospital, Cilegon, Banten, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fadlan Fediansyah","family":"Hutabarat","sequence":"additional","affiliation":[{"name":"Surgery, Kurnia Hospital, Cilegon, Banten, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1877-1626","authenticated-orcid":false,"given":"Henny Meitri Andrie Rachmasari","family":"Putri","sequence":"additional","affiliation":[{"name":"Obstetric Gynecology, Gatot Soebroto Army Central Hospital, Central Jakarta, Jakarta, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,5,4]]},"reference":[{"key":"2025082804354069000_14.5.e239923.1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000002469"},{"key":"2025082804354069000_14.5.e239923.2","doi-asserted-by":"crossref","first-page":"98","DOI":"10.4103\/GMIT.GMIT_74_18","article-title":"Scar endometriosis presenting as a painful abdominal mass","volume":"9","author":"Chen","year":"2020","journal-title":"Gynecol Minim Invasive Ther"},{"key":"2025082804354069000_14.5.e239923.3","first-page":"1","article-title":"Skin endometriosis at the caesarean section scar: a case report and review of the literature","volume":"10","author":"Alnafisah","year":"2018","journal-title":"Cureus"},{"key":"2025082804354069000_14.5.e239923.4","doi-asserted-by":"crossref","first-page":"430","DOI":"10.11152\/mu-1248","article-title":"Abdominal wall endometriosis: an update in clinical, imagistic features, and management options","volume":"19","author":"Grigore","year":"2017","journal-title":"Med Ultrason"},{"key":"2025082804354069000_14.5.e239923.5","doi-asserted-by":"crossref","first-page":"379","DOI":"10.12891\/ceog2126.2016","article-title":"Clinicopathological features of endometriosis in abdominal wall--clinical analysis of 151 cases","volume":"43","author":"Zhang","year":"2016","journal-title":"Clin Exp Obstet Gynecol"},{"key":"2025082804354069000_14.5.e239923.6","doi-asserted-by":"crossref","first-page":"682","DOI":"10.1007\/s12262-013-0978-1","article-title":"Surgical treatment of scar endometriosis following cesarean section, a series of 12 cases","volume":"77","author":"U\u00e7ar","year":"2015","journal-title":"Indian J Surg"},{"key":"2025082804354069000_14.5.e239923.7","doi-asserted-by":"crossref","DOI":"10.1186\/s12905-015-0170-9","article-title":"Endometriosis node in Gynaecologic scars: a study of 17 patients and the diagnostic considerations in clinical experience in tertiary care center","volume":"15","author":"Vellido-Cotelo","year":"2015","journal-title":"BMC Womens Health"},{"key":"2025082804354069000_14.5.e239923.8","first-page":"33","article-title":"Post-Cesarean scar endometriosis","volume":"15","author":"Y\u0131ld\u0131r\u0131m","year":"2018","journal-title":"Turk Jinekoloji ve Obstet Dern Derg"},{"key":"2025082804354069000_14.5.e239923.9","first-page":"321","article-title":"The many guises of endometriosis: giant abdominal wall endometriosis masquerading as an incisional hernia","volume":"11","author":"Petrosellini","year":"2018","journal-title":"Int J Fertil Steril"},{"key":"2025082804354069000_14.5.e239923.10","first-page":"7","article-title":"Spontaneous endometriosis within a primary umbilical hernia","volume":"76","author":"Laferriere","year":"2017","journal-title":"Hawaii J Med Public Health"},{"key":"2025082804354069000_14.5.e239923.11","doi-asserted-by":"crossref","unstructured":"Coutinho LM , Ferreira MC , Rocha ALL . 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