{"paper_id":"873a1064-f964-44eb-b808-a5ab14435960","body_text":"Varied clinical presentations of scar endometriosis: case reports\nDOI:\nhttps://doi.org/10.18203/2320-1770.ijrcog20182919Keywords:\nCaesarean section, Episiotomy, Scar endometriosisAbstract\nEndometriosis is the second most prevalent benign gynaecological condition, in reproductive age women, defined as the presence of functioning endometrial tissue outside uterine cavity. Scar endometriosis is a rare entity with an incidence of 0.3-1% among reproductive age women following obstetric and gynaecologic surgeries. Complaints of pain, tender mass, cyclical association with menstrual cycle is almost pathognomonic. Here we present two case reports of scar endometriosis recently encountered at our institute – caesarean scar endometriosis and episiotomy scar endometriosis. The quoted episiotomy scar endometriosis incidence is about 0.06 - 0.07% while that of caesarean scar endometriosis is 0.03-0.4%.\nMetrics\nReferences\nVellido-Cotelo R, Muñoz-González JL, Oliver-Pérez MR, de la Hera-Lázaro C, Almansa-González C, Pérez-Sagaseta C et al. Endometriosis node in Gynaecologic scars: A study of 17 patients and the diagnostic considerations in clinical experience in tertiary care center. BMC Women’s Health (2015) 15:13, available at http://www.biomedcentral.com/content/ pdf/s12905-015-0170-9.pdf\nRokitansky C. Ober Uterusdrusen-Neubildung in Uterus-und Ovarial-Sarcomen. Z GeeselechAerzte Wien 16:577-81, 1860, cited by Collines.\nAmerican College of Obstetricians and Gynecologists. Practice bulletin no. 114: management of endometriosis. Obstet Gynecol. 2010;116(1):223-6.\nDemir M, Yildiz A, Ocal I, Yetimalar MH, Kilic D, Yavasi O. Endometriosis in episiotomy scar: a case report. J Cases Obstet Gynecol. 2014;1(1):8-10.\nWolf Y, Haddad R, Werbin NY. Skornick, Kaplan O. Endometriosis in abdominal scars: adiagnosticpit fall. Am Surg. 1996;62(12)1042-44.\nde Gauna BR, Rodriguez D, Cabré S, Callejo J. A case of endometriosis in episiotomy scar with anal sphincter involvement. Int J Clin Med. 2011;2(05):624.\nNominato NS, Prates LF, Lauar I, Morais J, Maia L, Geber S. Caesarean section greatly increases risk of scar endometriosis. Eur J Obstet Gynecol Rep Bio. 2010;152(1):83-5.\nSasson IE, Taylor HS. Stem cells and the pathogenesis of endometriosis. Ann N Y Acad Sci. 2008;1127(1):106-15.\nCrum CP. The female genital tract. in Robbins Pathologic Basis of Disease, R. S. Cotran, V. Kumar, and V. Collins, Eds., Saunders, Philadelphia, Pa, USA, 6th edition, 1999.\nGunes M, Kayikcioglu F, Ozturkoglu E, Haberal A. Incisional endometriosis after cesarean section, episiotomy and other gynecologic procedures. J Obstetr Gynaecol Res. 2005;31(5):471-5.\nRivlin ME, Das SK, Patel RB, Meeks GR. Leuprolide acetate in the management of cesarean scar endometriosis. Obstet Gynecol. 1995;85(5):838-9.\nPicod G, Boulanger L, Bounoua F, Leduc F, Duval G. Abdominal wall endometriosis after caesarean section: report of fifteen cases. Gynecol Obstet Fertilite. 2006;34(1):8-13.","source_license":"CC0","license_restricted":false}