Clinical differences between adipose- and muscle-layer cesarean scar endometriosis: A retrospective observational study.

ABSTRACT:

Background/aim

This study evaluated cesarean section scar endometriosis (CSSE) characteristics and compared adipose- and muscle-layer CSSEs.

Materials and methods

We analyzed 53 patients who underwent CSSE surgery between 2019-2024, with 38 (71.7%) having adipose-layer and 15 (28.3%) having muscle-layer CSSE.

Results

Patients' mean age was 33.4 ± 5.9 years. Symptoms began 40.4 ± 23.5 months after cesarean section. CSSE occurred at scar corners in 42 patients (79.2%) and midline in 11 (20.8%). Mean preoperative CA-125 was 24.1 ± 14.8 U/mL. Groups differed in symptoms, location, and CA-125 levels. Adipose-layer CSSE commonly presented with swelling at corners, while muscle-layer CSSE showed pain at midline. Muscle-layer CSSE had higher CA-125 levels (38.2 ± 19.2 vs. 18.

SUBMITTER: Tas EE 

PROVIDER: S-EPMC12724033 | biostudies-literature | 2026 Jan

REPOSITORIES: biostudies-literature