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Endometriosis refers to the implantation and growth of functional endometrial tissue outside the uterus. The common sites include ovaries, pelvic peritoneum, deep pelvic subperitoneal spaces, intestinal system, and urinary system. Endometriosis of a uterine scar is extremely rare. Uterine scar endometriosis has been described in women of reproductive ages following an obstetrical or gynaecological surgery. Despite a varying range of clinical presentations, a probable diagnosis is possible with imaging modalities like ultrasound and Magnetic Resonance Imaging (MRI). Herein the authors report a case of 26-year-old patient complaining of recurrent pelvic pain since five months, MRI diagnosed the scar endometrioma in the uterine wall. The patient has not undergone the advised surgical excision of lesion and has continued the medical management.