Coexistence of Cesarean Scar Endometriosis and Intramuscular Endometriosis

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Endometriosis is defined as presence of functional endometrial tissue outside the uterus. With decreasing order of frequency, ovaries, peritoneum, subperitoneal deep pelvic cavity, intestinal and urinary system are the most common areas where the disease occurs. Endometriotic foci may develop on the scar tissue after previous surgery or abdominal wall in addition to pelvic region. This is often observed after obstetric and gynecological operations, and it needs to be distinguished with many different pathologies. Therefore, radiological modalities like ultrasound (US) imaging and m agnetic r esonance i maging (MRI) provide important clues for diagnosis. As far as we know, the coexistence of two separate foci, which are in subcutaneous fatty issue and in rectus muscles, has not been specified in any case report related to the abdominal scar endometriosis. In this case report, we intended to show a rare phenomenon, which is accompaniment of scar tissue endometriosis and rectus abdominis muscle endometriosis, by radiological imaging methods. J Med Cases. 2014;5(5):298-301 doi: http://dx.doi.o rg/10.14740/jmc1728 w