{"paper_id":"3f33b795-142b-4770-a18c-4446baac3222","body_text":"The enigma of painful scars: abdominal and perineal scar endometriosis\nDOI:\nhttps://doi.org/10.18203/2320-1770.ijrcog20251250Keywords:\nEndometriosis, Scar, Caesarean sectionAbstract\nScar endometriosis is a rare and often underdiagnosed form of extra-pelvic endometriosis, occurring in surgical scars following obstetric and gynaecologic procedures. It is most commonly associated with caesarean sections but has also been reported after hysterectomies, episiotomies, and laparoscopic surgeries. The condition arises due to the iatrogenic implantation of endometrial tissue into the surgical wound, where it subsequently proliferates under hormonal influence. It is often mistaken for other dermatological or surgical conditions, leading to a delayed diagnosis. We are reporting three cases of scar endometriosis. The patient required wide surgical excision of the lesion. The pathogenesis, diagnosis, and treatment of this rare condition are being discussed.\nMetrics\nReferences\nZhang P, Sun Y, Zhang C, Yeping Y, Linna Z, Ningling W, et al. Cesarean scar endometriosis: presentation of 198 cases and literature review. BMC Women's Health. 2019;19(1):14. DOI: https://doi.org/10.1186/s12905-019-0711-8\nMalutan AM, Simon I, Ciortea R, Mocan-Hognogi RF, Dudea M, Mihu D. Surgical scar endometriosis: a series of 14 patients and brief review of literature. Clujul Med. 2017;90(4):411-5. DOI: https://doi.org/10.15386/cjmed-743\nNepali R, Upadhyaya Kafle S, Pradhan T, Dhamala JN, Scar endometriosis: A rare cause of abdominal pain. Dermatopathology. 2022;9(2):158-63. DOI: https://doi.org/10.3390/dermatopathology9020020\nKaplanoglu M, Kaplanoğlu DK, Dincer Ata C, Buyukkurt S, Obstetric scar endometriosis: Retrospective study on 19 cases and review of the literature: Int Sch Res Notices. 2014;417042. DOI: https://doi.org/10.1155/2014/417042\nAkbulut S, Mahsuni Sevinc M, Bakir S, Cakabay B, Sezgin A. Scar Endometriosis in the Abdominal Wall: a Predictable Condition for Experienced Surgeons. Acta Chirurgica Belgica. 2010;110(3):303-7. DOI: https://doi.org/10.1080/00015458.2010.11680621\nHorton JD, Kent JD, Eric PA, Michel W. Abdominal wall endometriosis: A surgeon's perspective and review of 445 cases. Am J Surg. 2008;196(2):207-12. DOI: https://doi.org/10.1016/j.amjsurg.2007.07.035\nDing Y, Zhu J. A retrospective review of abdominal wall endometriosis in Shanghai, China. Int J Gynaecol Obstet. 2013;121(1):41-4. DOI: https://doi.org/10.1016/j.ijgo.2012.11.011\nKim SJ, Choi SH, Won S. Cumulative recurrence rate and risk factors for recurrent abdominal wall endometriosis after surgical treatment in a single institution. Yonsei Med J. 2022;63:446-51. DOI: https://doi.org/10.3349/ymj.2022.63.5.446\nNigam A, Saxena P, Barla P, Pathak P. Scar endometriosis: the menache of surgery. BMJ Case Rep. 2014;206693:bcr2014206693. DOI: https://doi.org/10.1136/bcr-2014-206693","source_license":"CC0","license_restricted":false}