{"paper_id":"0fcdb38d-52aa-4abb-8000-b896c7e3f612","body_text":"Abstract\nThe present case reported a patient having with recurrent endometriotic lesion which occurred in the episiotomy scar.\nThe patient who was operated due to episiotomy scar endometriosis one year ago applied to our outpatient clinic with cyclic pain and swelling especially during menstrual periods which started on the same area. The mass ingrained approximately 2.5 cm deep from the surface, which localized on the episiotomy scar, was reached and circumferentially excised. In the pathological examination, tissue which embedded into the fibro-adipose tissues which was consistent with endometriosis, was detected.\nIncreased steroidogenic acute regulatory protein production by Prostoglandin E2 receptor and the level of aromatase provide continuity of the endometriotic cells which were implanted during the vaginal birth with local hiperestrogenism. The genetic predisposition probably increases the tendency of recurrence of endometriotic lesions. This two mechanisms may be considered responsible for current case.","source_license":"CC0","license_restricted":false}