Abdominal wall endometriosis in a cesarean scar: a case report

Cesarean scar endometriosis, though rare, requires high clinical suspicion in patients with prior cesarean sections and cyclical symptoms. Multimodal imaging aids differentiation, but histopathology remains definitive. Surgical excision with clear margins is curative, preventing complications such as malignant transformation. This case highlights the interplay of surgical history, hormonal factors, and anatomical predisposition in cesarean scar endometriosis pathogenesis. Clinicians must prioritize early recognition and intervention to optimize outcomes in this underdiagnosed condition.