Cutaneous Endometrioma in a 26-year-old Female with Abdominal Pain

Objective: To describe a case of cesarean scar endometriosis presenting as abdominal pain, and review literature for signs and symptoms that may allow prompt diagnosis and treatment. Materials and Methods: N/A Summary: Endometriosis is defined as the growth of functional endometrial tissue outside of the uterine cavity. The primary difficulty in diagnosing endometriosis is due to its variable presentation, causing a delay in treatment and management. The present study describes a case of cesarean scar endometriosis presenting as abdominal pain, and reviews literature for signs and symptoms that may allow prompt diagnosis and treatment. A 26-year-old female presented to her primary care physician with complaints of abdominal pain for two months, and was ultimately referred to the general surgeon for evaluation. Physical exam revealed a a tender, palpable, soft tissue mass deep to her lower midline scar, and CT scan revealed a 1.8cm x1.8cm fluid-filled area in the anterior midline of the abdomen inferior to the umbilicus. The mass was surgically excised, and pathology findings were consistent with cutaneous endometriosis. Cutaneous endometriosis should be suspected in a female of childbearing age presenting with a tender, painful mass, associated with a previous gynecological scar. Definitive diagnosis is made histologically, and treatment is surgical excision with follow-up. Conclusions: Cutaneous endometriosis should be suspected in a female of childbearing age presenting with a tender, painful mass, associated with a previous gynecological scar. Definitive diagnosis is made histologically, and treatment is surgical excision with follow-up.