Abdominal Wall Endometrioma at Laparoscopic Port Site: Case Report with Literature Review

Background: The ectopic growth of functional endometrial tissue outside the uterine cavity is called endometriosis. It could be in pelvic or extra-pelvic locations. Abdominal wall endometriosis is rare and mostly reported following various surgical procedures mostly cesarean section or pelvic surgery. A few case reports have described abdominal wall endometriosis following laparoscopy at trocar port sites. We report a new case of abdominal wall endometriosis with review of the literatures. Case report: This is a report of abdominal wall endometriosis at the laparoscopic port site in a 34-year-old woman who had previous diagnostic laparoscopy 4 years ago for gynecological problem when she presented with recurrent attacks of mild abdominal pain and discomfort for 4 months duration. Operative intervention was decided depending on ultrasound and abdominal CT scan findings, we performed a complete surgical resection of the lesion with a free macroscopic margin. Conclusion: Due to a wide range of mimicking conditions and a relative rarity, a significant delay is often observed from the onset of symptoms to proper diagnosis. Although rare, if a painful mass in the surgical scar, such as the trocar site, is found in women of reproductive age with a history of pelvic or obstetric surgery, the physician should consider endometriosis.