A RARE CASE OF SCAR ENDOMETRIOSIS WITH UTEROCUTANEOUS FISTULA

Utero-cutaneous fistula is a rare condition which is characterized by an abnormal communication between the anterior wall of the uterus and the abdominal wall. The causes are multiple caesarean sections, abortions, uterine cavity revision, retention of placental material after delivery, endometriosis, use of drains, post-operative infections, or injuries. Blood discharge from the caesarean scar during menstruation is a prominent feature as in our case. Here we present a case of para 2 living 1 lady, with previous 2 caesarean section presented to our Gynecology outpatient department with bleeding from the classical caesarean scar site cyclically during menses. Elective laparotomy with excision of uterocutaneous tract was done. Histopathology showed scar endometriosis.