ABDOMINAL SCAR ENDOMETRIOSIS AS A RARE AND LATE COMPLICATION OF CESAREAN SECTION- CASE REPORTS WITH REVIEW OF LITERATURE.

Abdominal scar endometriosis is the commonest extra pelvic site of the pathology, which follows the surgery on the uterus and fallopian tubes. Cesarean section is the commonest such procedure. Very low incidence may be explained by the recently found pathogenesis of genetic, epigenetic, molecular, and immunological changes. Reporting is important for statistical records and varied presentations. The usual presentation of this chronic gynecological pathology is pain and swelling at the abdominal scar site. Its diagnosis is clinical, complimented with Ultrasound and management is surgical excision. We present two post-cesarean cases with localized swelling and pain in the abdominal scar. Both were treated with wide excision of the lesion; the diagnosis was conrmed and malignancy was excluded by histopathology. No recurrence was noted on follow up. This chronic, progressive pain full condition needs prompt diagnosis and management. Patient counseling is mandatory as recurrence and the chance of malignancy are there in recurrent cases. We present here two such rare cases with the aim of statistical record as the reported incidence is <1%, and its unusual presentation