[Endometriosis in the episiotomy-cicatrix]

Area of Science:

• Gynecology
• Obstetrics
• Pathology

Background:

• Episiotomy is a surgical incision made during childbirth.
• Twin deliveries present unique obstetric considerations.
• Endometriosis involves endometrial tissue growing outside the uterus.

Observation:

• A case of endometriosis developing in an episiotomy scar following the delivery of twins is presented.
• The patient experienced menstrual hemorrhage from the scar and scar disorders.
• Coalesced placentas were noted during delivery.

Findings:

• Endometriosis in episiotomy scars is uncommon, with few reported cases.
• The endometrium's implantation potential is reduced in late pregnancy.
• Postpartum hormonal decline may impede the development of ectopic endometrial implants.

Implications:

• This case highlights a rare complication of episiotomy, particularly after twin births.
• Understanding the hormonal milieu is crucial for explaining the low incidence of scar endometriosis.
• Further research may elucidate the precise mechanisms involved in scar implantation.