Episiotomy scar endometriosis


 

Fig B- T1 axial

 

 



Fig C T2 axial





Fig D T1 axial



Fig E - Sagittal STIR





 










Fig F - Sagittal STIR



28 year old lady presenting with nodules in the region of the right episiotomy scar that is painful during her periods.

There is small intermediate T2 signal nodule( Fig A)  in the right lateral aspect of the labium corresponding to the episiotomy scar which demonstrates high signal on T1 ( Fig B) indicative of hemorrhagic focus. Similar signal inferior lying nodule ( Fig C &  D). The sagittal STIR images ( E & F) demonstrates the location along the scar.