ENDOMETRIOSIS AT CAESARIAN SECTION SCAR.
A 32 years multiparous lady with history of previous three caesarean sections,
presented with pain in the scar for the last three years. Clinical examination revealed a firm and
tender nodule under the scar which used to become prominent on menstruation. Ultrasound
showed hypoechoic areas with echogenic shadowing. MRI was unremarkable. Clinical diagnosis
of scar endometriosis was made. Local incision done with enblock dissection. Histopathology
confirmed the presence of endometrial glands. This is a case report of cesarean section scar
endometriosis. The pathogenesis, diagnosis and treatment of this presentation are discussed.