Diagnosis and Treatment of Post-Caesarean Scar Endometriosis

Endometriosis is a common disease that involves approximately 10–15% of women of reproductive age. It is defined as an ectopic implantation of endometrial tissue outside the uterusIt is frequently detected in the pelvic organs, such as the peritoneum, the ovaries, the pouch of Douglas and the uterosacral ligaments.The possible sites are, in the order of frequency, the abdominal wall, the bowel, the peritoneum, the omentum, the umbilicus, the hernial sacs, the bladder, the kidney, the lungs, the pleura and the extremities.The cause of endometriosis remains controversial and gives rise to many theories, such as the role of the immune system with the drop in the regulatory capacity of natural killer cells and the mechanical transportation of the cells after gynaecological procedures. The diagnosis of scar endometriosis based solely on data from the medical history and clinical examination is difficult. Echography and colour Doppler methods are the use full tools for the treatment.