Published on: 5/21/2025
It is not unusual to have a hard lump in the abdominal wall after a C-section due to scar tissue or healing changes, but any new, growing, or painful lump should be evaluated by a doctor.
After a C-section, many women notice changes in their abdominal wall which can include the development of a hard lump. This lump is often due to scar tissue or localized fat necrosis that forms as part of the normal healing process. In many cases, these lumps are benign and may not cause any problems. However, sometimes a lump could indicate a complication, such as a developing incisional hernia or, less commonly, an abscess at the surgical site. It’s important to keep an eye on the lump—if it remains stable and is not causing discomfort, it might simply be a part of your post-surgery healing. But if the lump starts to grow, becomes painful, or is accompanied by other symptoms like redness, fever, or discomfort while moving, you should consult your doctor. They may recommend imaging tests, such as an ultrasound or CT scan, to help determine the cause and ensure that appropriate care or treatment is provided if needed.
(References)
Li MH, Leng JH, Jiang Y, Lang JH. Abdominal wall lump after cesarean delivery. Obstet Gynecol. 2012 Aug;120(2 Pt 2):494-497. doi: 10.1097/AOG.0b013e318260dbda. PMID: 22825277.
Rosa F, Perugin G, Schettini D, Romano N, Romeo S, Podestà R, Guastavino A, Casaleggio A, Gandolfo N. Imaging findings of cesarean delivery complications: cesarean scar disease and much more. Insights Imaging. 2019 Sep 23;10(1):98. doi: 10.1186/s13244-019-0780-0. PMID: 31549248; PMCID: PMC6757074.
Li MH, Leng JH, Jiang Y, Lang JH. Abdominal wall lump after cesarean delivery. Obstet Gynecol. 2012 Aug;120(2 Pt 2):494-497. doi: 10.1097/AOG.0b013e318260dbda. PMID: 22825277.
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