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Scar endometriosis is a rare disease and poses a great challenge in diagnosis and thus its management. Case: We present in this report a 32years old lady with underlying severe endometriosis who presented with persistent discharge and pain over her midline surgical scar site after two previous laparotomies. She was treated for wound breakdown which failed to resolve despite multiple courses of antibiotics and wound dressing. Surgical excision of the scar was done and sent for histopathologydoi:10.26717/bjstr.2018.06.001397 fatcat:rfwv7prvvrd3feqygozzwkf7pi