Systematic and Comprehensive Approach to Management of Patients with Scar Endometriosis

Scar endometriosis has been described following obstetrical and gynaecological surgery. It is a rare condition, though probably on the rise, due to the considerable increase of caesarean sections performed worldwide. Its physiopathology is complex 1 ; its symptomatology is rich and diverse but thorough clinical examination along with ultrasound imaging, MRI scanning and pre therapeutic cytological evaluation are usually efficient in diagnosing the condition. Scar endometriosis like a malignancy calls for comprehensive and aggressive management. A strong index for suspicion goes a long way in initiating the process of diagnosis along the right lines. The patient may require concomitant wide surgical excision of this secondary painful lesion along with tackling of the primary pelvic lesions.