Introduction: Endometriosis is a common gynaecological condition occurring in 8% - 15% of reproductive age group women. It is defined as the ectopic implantation of functioning endometrium outside the uterus, the commonest site being the pelvis. Scar endometriosis is rare and difficult to diagnose as it can be confused with other surgical conditions. It occurs in 0.1% of women with an abdominal scar. Aim: The aim of this paper is to report a case of scar endometriosis, its diagnosis and its management. Case Report: A 43-year-old female patient with scar endometriosis post hysterectomy surgery; diagnosed by MRI and managed by surgical excision. Conclusion: Scar endometriosis is a challenging diagnosis that usually takes time; mainly because it is commonly confused with other conditions due to its vague presenting symptoms. It has to be kept in mind in patients post pelvic surgery. The gold standard for the diagnosis of scar endometriosis is Histopathology. MRI aids in the pre-surgical diagnosis.
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