Scar Endometriosis: A Review

Extrapelvic endometriosis is a very rare entity and difficult to diagnose majority of which includes incisional scar endometriosis following an obstetric/gynecologic procedure. Diagnosis of scar endometriosis occurs as an underappreciated phenomenon particularly in general surgery, so the cesarean section incisional endometriosis may be more common than reflected in the literature. Although the preoperative diagnosis is often mistaken, it has a distinct presentation, a surgical history and a tender, slow-growing mass neighboring the incision with the symptoms intensifying prior to each cycle. The medical treatment may decrease symptoms in a while and should be put to use for a case reluctant to surgical management whose diagnosis was corroborated with fine needle aspiration cytology. Nevertheless, total surgical excision with a safety margin, for avoiding recurrence, may suggests the best choice for providing both diagnostic and therapeutic intervention.