Scar Endometriosis Following Lower Segment Cesarean Section: A Case Report

gynecological surgeries, most commonly lower segment cesarean section (LSCS). It usually presents as cyclical pain and swelling near the operative scar, often leading to delayed diagnosis because of its resemblance to other surgical conditions. We report the case of a 22-year-old female, para one living one, with previous LSCS performed in 2022 for preeclampsia with fetal distress, who presented with painful swelling over the lower anterior abdominal wall near the cesarean scar. Symptoms began approximately 5–6 months after surgery and progressively increased over one year. The swelling increased in size and pain during menstruation and regressed afterward. Ultrasonography and magnetic resonance imaging suggested scar endometriosis involving the right lower rectus region. Surgical excision was performed, and histopathological examination confirmed the diagnosis. This case emphasizes the importance of considering scar endometriosis in women presenting with cyclical pain and swelling after cesarean delivery. Early diagnosis and surgical excision provide definitive treatment and excellent symptomatic relief