DOI: 10.36347/sjmcr.2014.v02i02.015

Pages: 112-113

Endometriosis is a common multifocal gynaecological disease that manifests during reproductive years causing chronic pelvic pain and infertility. It may occur as invasive peritoneal fibrotic nodules and adhesions or as ovarian cysts with haemorrhagic contents. Although findings at physical examination may be suggestive, Imaging is necessary for definitive diagnosis ,patient counseling and treatment purposes. Here we present a case report of Rectus sheath endometrioma following Cesarean with ovarian Chocolate cyst which is a very rare presentation . Our patient, para 2 living 2, presented with cyclical pain with mass per abdomen in left hypochondriac region , with regular menstrual cycles following Cesarean sections. Imaging with Ultrasonography showed left ovarian cyst with solid contents .She was provisionally diagnosed as a case of Endometriosis and treated with medical management. MRI imaging was done as her symptoms didn’t subside. It showed Rectus sheath Endometrioma with Left ovarian Chocolate cyst. She underwent left Salpingoophorectomy with wide local excision of rectus sheath Endometrioma under Spinal anaesthesia. Histopathology confirmed the diagnosis of Endometriosis.