We report the case of a 33 year old female who presented with endometriosis of the anterior abdominal wall following Caesarean Section at the surgical incision site. Abdominal Incisional Site Endometriosis can pose a diagnostic dilema owing to its relative rarity and vagueosity of symptoms, vis-a-vis, cyclical abdominal pain and occasional palpable mass associated with menstruation. A greater index of suspicion should be prompted in such patients especially if symptoms occur following pelvic surgery such as Caesarean Sections, hysterotomy, and myomectomy.
 S. Gourgiotis, G. Veloudis, N. Pallas, P. Lagos, N. S. Salemis and C. Villias, “Abdominal Wall Endometriosis: Report of Two Cases,” Romanian Journal of Morphology and Embryology, Vol. 49, No. 4, 2008, pp. 553-555.
 K. B. Gajjar, A. A. Mahendru and M. A. Khaled, “Caesarean Scar Endometriosis Presenting as an Acute Abdomen: A Case Report and Review of Literature,” Archives of Gynecology and Obstetrics, Vol. 277, No. 2, 2008, pp. 167-169. doi:10.1007/s00404-007-0431-4
 E. T. Lee, H. M. Park, D. G. Lee, K. J. Shin, H. S. Kim, R. H. Sung and D. H. Ryu, “Application of Mini-Abdominoplasty after Conservative Excision of Extensive Cesarean Scar Endometriosis,” Archives of Plastic Surgery, Vol. 39, No. 5, 2012, pp. 551-555. doi:10.5999/aps.2012.39.5.551
 P. Veda and M. Srinivasaiah, “Incisional Endometriosis: Diagnosed by Fine Needle Aspiration Cytology,” Journal of Laboratory Physicians, Vol. 2, No. 2, 2010, pp. 117-120. doi:10.4103/0974-2727.72216
 M. Szubert, J. Suzin, T. Wierzbowski and K. Kowalczyk-Amico, “CA-125 Concentration in Serum and Peritoneal Fluid in Patients with Endometriosis—Preliminary Results,” Archives of Medical Science, Vol. 8, No. 3, 2012, pp. 504-508. doi:10.5114/aoms.2012.29529
 I. E. Sasson and H. S. Taylor, “Aromatase Inhibitor for Treatment of a Recurrent Abdominal Wall Endometrioma in a Postmenopausal Woman,” Fertility and Sterility, Vol. 92, No. 3, 2009, p. 1170. doi:10.1016/j.fertnstert.2009.05.071
 L. Giannella, A. La Marca, G. Ternelli and G. Menozzi, “Rectus Abdominis Muscle Endometriosis: Case Report and Review of the Literature,” Journal of Obstetrics and Gynaecology Research, Vol. 36, No. 4, 2010, pp. 902-906. doi:10.1111/j.1447-0756.2010.01236.x
 C. Nissotakis, E. Zouros, K. Revelos and G. H. Sakorafas, “Abdominal Wall Endometrioma: A Case Report and Review of the Literature,” AORN Journal, Vol. 91, No. 6, 2010, pp. 730-742. doi:10.1016/j.aorn.2010.01.014