<![CDATA[Background: Caesarean scar endometriosis is a rare form of extra pelvic endometriosis that often presents with nonspecific symptoms, leading to diagnostic challenges. Case Presentation: We report the case of a 41-year-old woman who presented with a painful subcutaneous mass at the site of a previous caesarean section, noted eight months post-surgery. MRI imaging revealed a mass suggestive of cutaneous endometriosis, and wide excision was performed. Histopathological analysis confirmed the diagnosis with identification of endometrial glands and stroma within the cutaneous tissue. Discussion: Caesarean scar endometriosis is often associated with Pfannenstiel incisions, with a latency period of symptom onset averaging over two years. While imaging such as MRI is useful for preoperative assessment, surgical excision remains the definitive treatment. Recurrence is uncommon but can occur. Iatrogenic seeding of endometrial cells during surgery is a likely etiological factor, highlighting the importance of proper surgical technique and wound cleaning. Conclusion: Although rare, cutaneous endometriosis should be considered in women presenting with cyclical pain and masses at surgical scars post-caesarean. Early recognition and surgical intervention are key to effective management and prevention of recurrence.Keywords: Cutaneus Endometriosis; Caesarean Scar; Abdominal wall mass.]]>
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