JOURNAL OF CLINICAL AND BIOMEDICAL SCIENCES

Abstract

Endometriosis is defined as the abnormal presence of endometrial tissue outside the uterus. Scar endometriosis could go unnoticed or can present with symptoms such as pain in the lower abdomen or as tender nodular lesions over the surgical scar which are usually misdiagnosed as keloid, haematoma, hypertrophied scar, desmoids tumour, cutaneous tumour and stich granuloma. We report a case in a 35 years old female patient who was treated for pelvic inflammatory disease with no relief. We diagnosed the scar lesion as stich granuloma/hypertrophied scar/desmoid tumour. She underwent wide local excision of the Nodular swellings on the caesarean scar with primary closure. HPE confirmed it as scar endometriosis. Patient is relieved of pain abdomen and is symptom free with no recurrence on follow up till date.

KEY WORDS: Scar endometriosis, PID, Abdominal wall endometriosis