Cesarean scar endometriosis: a rare case report

Endometriosis is one of the puzzling subjects in gynaecology and its diagnosis requires high level of suspicion, especially if it occurs at extra pelvic site. Extra pelvic endometriosis is a relatively rare event. The most common extra pelvic form of endometriosis is cutaneous endometriosis. Our aim to publish this case report is to draw attention of clinicians to cyclic complaints of patients with abdominal wall endometriosis, and also to remind this rare gynecologic disease as a differential diagnosis. Endometriosis should be included in the differential diagnosis of lumps related to a surgical scar, inguinal canal and pelvis, especially if symptoms are cyclical. Usually surgical excision is adequate management as in our case but selected cases require gynecological referral and further medical therapy.