<?xml version="1.0" encoding="utf-8"?><article>
	<front>
		<journal-meta>
			<journal-id journal-id-type="publisher">PIJR</journal-id>
			<journal-title>Paripex - Indian Journal Of Research</journal-title>
			<issn pub-type="ppub">2250 - 1991</issn>
			<publisher>
				<publisher-name>Indian Society for Health and Advanced Research</publisher-name>
			</publisher>
		</journal-meta>
		<article-meta>
			<article-id pub-id-type="other">pijr-8-6-11616</article-id>
			<article-categories>
				<subj-group>
					<subject>Original Research Paper</subject>
				</subj-group>
			</article-categories>
			<title-group>
				<article-title>RARE SITES OF ENDOMETRIOSIS</article-title>
			</title-group>
			<contrib-group><contrib contrib-type="author">
						<name>
							<surname>K.Ramalingam</surname>
							<given-names></given-names>
							<prefix>Dr.</prefix>
						</name>
						<xref ref-type="aff" rid="aff000">
							<sup></sup>
						</xref>
						</contrib></contrib-group><pub-date pub-type="ppub">
				<month>June</month>
				<year>2019</year>
			</pub-date>
			<volume>8</volume>
			<issue>6</issue>
			<fpage>01</fpage>
			<lpage>02</lpage>
			<abstract>
				<title>ABSTRACT</title>
				<p>INTRODUCTION&ndash;Endometriosis  is a gynecological condition where functional endometrial tissue found outside the uterus. Incidence is 6&ndash;10% of reproductive age group .Based on symptoms, they will approach different specialities, where diagnosis is difficult and challenging.
CASES&ndash;5 different cases reported to NRIGH. 2 cases diagnosed as scar endometriosis, they presented with pain abdomen at scar site with previous history of caesarean section .One case presented as secondary infertility with vague pain abdomen. On laparotomy ,biopsy showed colonic endometriosis. One case presented with complains of haematuria since 10 days ,Cystoscopic excision of bladder mass done. Biospy showed Endometriosis of bladder. Post hysterectomised complains of spotting and white discharge per vagina. Laparotomy done, biopsy showed left ovarian endometriosis and endometriosis of appendix.
DISCUSSION&ndash;Most common location of endometriosis include pelvic peritoneum ,ovaries, recto&ndash;vaginal septum .Rare sites are scars, appendix, Bladder etc.. Incidence of scar endometriosis&ndash;0.03&ndash;0.15%, colon with intestinal obstruction&ndash;0.1&ndash;0.6%, appendix is <1%.
CONCLUSION&ndash;Chronic pelvic pain in reproductive age group should have suspicion of endometriosis and treat accordingly.</p>
			</abstract>			
			<counts>
				<ref-count count="7"/>
				<page-count count="2"/>
			</counts>
		</article-meta>
	</front>
</article>