Publication:

The enigma of painful scars: abdominal and perineal scar endometriosis

Scar 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.