{"paper_id":"3ef0b872-4419-48de-97e3-1ac076d1ca38","body_text":"A scar that cycles: unmasking episiotomy site endometriosis: a case report\nDOI:\nhttps://doi.org/10.18203/2320-1770.ijrcog20253111Keywords:\nEpisiotomy, Scar site endometriosis, Cutaneous endometriosis, Extra pelvic endometriosis, Vaginal delivery, Caesarean sectionAbstract\nEndometriosis is a condition characterised by occurrence of endometrial cells outside the uterine cavity and when it appears at the previous scar site like episiotomy scar, caesarean scar or laparoscopic port incision scar sites, it is called extrapelvic or cutaneous endometriosis. Here we present a case of 31-year-old lady who had vaginal delivery with episiotomy scar 6 years ago. She presented at our center with cyclical pain at the episiotomy scar site and a hard nodular mass of 3×4 cm was found at the episiotomy site. She underwent complete excision of mass after thorough examination and imaging. The hsitopathology report confirmed the diagnosis. Hence, we knew that the definitive treatment of episiotomy scar site endometriosis is surgical and medical management has no role.\nMetrics\nReferences\nSinha A, Rahane TL, Ghorpade N. When endometriosis returns: managing vault involvement after hysterectomy: a case report. Int J Reprod Contracept Obstet Gynecol 2025;14(7):2391-4. DOI: https://doi.org/10.18203/2320-1770.ijrcog20251998\nHakami R, AlMansour S, Aloraini HM, Alturki NI, Alswayyed M, AlHarbi RA, et al. Isolated Perianal Endometrioma: A Case Report and Literature Review. Am J Case Rep. 2022;23:e934745. DOI: https://doi.org/10.12659/AJCR.934745\nMcComb K, Barghash M, Eltayef S. Perianal Endometriosis: An Uncommon Site for a Common Problem. Cureus. 2023;15(9):e44840. DOI: https://doi.org/10.7759/cureus.44840\nHirata T, Koga K, Osuga Y. Extra-pelvic endometriosis: A review. Reprod Med Biol. 2020;19(4):323-33. DOI: https://doi.org/10.1002/rmb2.12340\nDurairaj A, Sivamani H, Panneerselvam M. Surgical Scar Endometriosis: An Emerging Enigma. Cureus. 2023;15(2):e35089. DOI: https://doi.org/10.7759/cureus.35089\nGonzalez RH, Singh MS, Hamza SA. Cutaneous Endometriosis: A Case Report and Review of the Literature. Am J Case Rep. 2021;22:e932493. DOI: https://doi.org/10.12659/AJCR.932493","source_license":"CC0","license_restricted":false}