Scar Endometriosis - A Rare Entity: Case Series
T S Chowdhury1, S A Begum, N T Mahtab
1Dr Tanzeem S Chowdhury, Associate Professor, BIRDEM General Hospital and Ibrahim Medical College, 122, Kazi Nazmul Islam Avenue, Shahbagh, Dhaka, Bangladesh.
Mymensingh Medical Journal : MMJ
|August 27, 2020
Summary
Scar endometriosis, a rare form of endometriosis occurring in surgical scars, presents diagnostic and treatment challenges. This condition, often unresponsive to hormonal therapy, typically requires surgical excision for effective management.
Area of Science:
- Gynecology
- Surgical Pathology
Background:
- Endometriosis involves endometrial tissue outside the uterus, characterized by local invasion.
- Scar endometriosis is a rare manifestation, occurring in 0.03-0.15% of endometriosis cases.
- This condition presents diagnostic difficulties due to its deceptive nature and lack of specific tools.
Purpose of the Study:
- To present two cases of scar endometriosis.
- To highlight the diagnostic and therapeutic challenges associated with scar endometriosis.
Main Methods:
- Case study presentation.
- Review of clinical encounters at BIRDEM General Hospital over five years.
Main Results:
- Two cases of scar endometriosis were identified.
- The condition demonstrated resistance to hormonal treatments.
Conclusions:
- Scar endometriosis is a rare but challenging clinical entity.
- Surgical excision is often the primary effective treatment modality.
- Increased awareness and diagnostic vigilance are crucial for timely management.


