Rupture of a Giant Caesarean Scar Endometriosis Nodule - A Case Report and Literature Review

Background: Abdominal wall endometriosis is a rare condition occurring after caesarean section. A small painful nodule or lump near post caesarean scar is the common presentation. Large size endometrial nodules in anterior abdominal wall are uncommon and bleeding is very rare complication. Case report: In a thirty two years female a giant size endometrial nodule developed in a post caesarean scar. This patient presented as emergency during menstruation because of pain and lump with bluish discolouration. This case is reported for post caesarean scar large size endometriosis with extravasation of blood in surrounding anterior abdominal wall. This giant size endometriosis in anterior abdominal wall involving rectus abdominis muscle was successfully excised with a margin. The residual large size defect was repaired using polypropylene mesh. Conclusion: The complication of rupture and haemorrhage into surrounding tissue is very rare as compared to pelvic endometriosis. The large size endometrial nodule should be treated by excision with a margin.