Abdominal scar endometriosis-a dilemma in diagnosis

Abstract

Abdominal scar endometriosis is a rare disease with an incidence of 0.03-0.15%. Its diagnosis is often confused with other conditions like hematoma, granuloma, diagnostic dilemmas, keloid, incisional hernia and vascular malformation. We are reporting two cases of abdominal scar endometriosis with some diagnostic confusion. In first case it was previously reported as stitch granuloma due to atypical clinical presentation. In second case CT scan was further reported it to be a likely neoplastic lesion. In both the cases, currently wide excision of the lesion with a safe margin was planned and confirmed by histopathology. On follow up both patients are asymptomatic.