POST CAESAREAN SCAR ENDOMETRIOSIS - A RARE DISEASE ENTITY

Endometriosis is a common gynaecological condition. It can pose a diagnostic dilemma when presented as endometriosis in the scar. This is a rare disease entity. We discuss a case of abdominal wall endometriosis following caesarean section. INTRODUCTION: Endometriosis is defined as the presence and proliferation of the endometrium outside the uterine cavity, commonest site being the pelvis. The actual incidence of abdominal wall scar endometriosis following hysterotomy is 1.082%, whereas after caesarean section the incidence is around 0.03to 0.4%. The most common site is caesarean section scar. Endometriosis, in patients with scars, is more common in the abdominal skin and subcutaneous tissue compared to muscle and fascia. Endometriosis involving only the rectus muscle and sheath is very rare. CASE PRESENTATION (Informed consent of the patient and ethical committee has been informed) Mrs. Xx 26 years P1L1 who underwent LSCS ( indication FETAL DISTRESS) two years back presented with complaints of pain, and swelling at the surgical scar site since 4 months which aggravated at the onset of menstruation and used to be relieved as menstruation stopped. On examination: P/A – a nodular mass, measuring 2cm x 1.5 cm, firm in consistency with restricted mobility, tender to palpate was present on the right side of the Pfannenstiel scar.