Extra-pelvic scar site endometriosis: A gynaecologist's perspective

Abstract

Extra –pelvic endometriosis is a rare condition, usually associated with the surgeries where uterus is incised or rarely at episiotomy site. Since we gynaecologists are somewhere responsible for the condition, we must be able to diagnose and treat it properly. The condition is often misdiagnosed and suture granuloma, incisional hernia, haematoma, perineal abscess, primary or metastatic cancer are kept in differentials. We here report two cases of scar endometriosis developed in the abdominal wall scar after caesarean section and one at perineal episiotomy site after vaginal delivery.