Scar endometriosis: Looking beyond the diagnosis - A case series

TL;DR

This case series explores scar endometriosis, emphasizing the role of imaging in diagnosing and surgically managing the condition.

Contribution

The paper presents four cases highlighting the importance of imaging in surgical planning for scar endometriosis.

Findings

Imaging is crucial for determining the extent of scar endometriosis for preoperative planning.

Assessment of anal sphincter complex involvement is important in perineal cases.

Radiology aids in diagnosing atypical cases of scar endometriosis.

Abstract

Scar endometriosis usually affects the abdominal wall or the perineum. Virtually all cases are linked with some form of surgical manipulation. Although the clinical diagnosis of scar endometriosis may be straightforward with classical symptomology, imaging with ultrasound and MRI are important for the determination of its extent, which is imperative for adequate preoperative planning. In addition, assessment of perineal scar endometriosis also requires the identification of anal sphincter complex involvement, which can significantly impact the surgical approach. Radiology plays a vital role in its diagnosis in atypical clinical scenarios.

This series of four cases describes the morphology and highlights the importance of imaging in the surgical management of scar endometriosis; three with abdominal wall involvement and one with the involvement of perineum.

Figures