Abstract

Scar endometriosis is a rare disease. The incidence rate is around %1,6. The aim of this paper is to investigate one of our patient’s symptoms along with the diagnosis methods and surgical therapy used with reference to the literature. A 21-year-old woman was presented with pain and swelling complaints on the cesarean scar. She stated that her complaints were increasing around menstrual cycle. Radiologic examinations showed a vascular, heterogeneous solid mass extending into the rectus muscle. After the excision of the mass, pathologic investigation reported the mass to be endometrioma. Scar endometriosis diagnosis is difficult and it is a rare clinical situation. Scar endometriosis should be considered for female patients with pain around hypertrophic scars probably related to pelvic surgery incisions. In these cases, the relationship between the size of the mass as well as the changes in pain severity with menstrual cycle should be examined.

Key Words: Endometriosis; Scar; Cesarean.