Endosalpingiosis Presenting as Infraumbilical Mass- A Rare Case Report with Review of Literature

Background: Endosalpingiosis is an understudied gynaecological entity with limited research on it. Clinical significance of endosalpingiosis is not fully understood. Because of unfamiliar presentation, it can lead to misdiagnosis.
Case Report:We present a case of endosalpingiosis in a 54 years old female patient presenting as infraumbilical mass with history of tubal ligation 30 years ago. Gross examination reveals a grey white to grey brown lesion of size 5 x 3.5 x 3cm, microscopy showing cystically dilated spaces lined by low columnar to cuboidal and attenuated epithelium with focal areas showing dystrophic calcification.
Discussion: Endosalpingiosis is a rare benign diagnosis which presents at postmenopausal or older age with clinical presentation as abdominal pain, dysmenorrhea, pelvic discomfort, dysuria or hematuria.
Conclusion: Endosalpingiosis is a rare and uncommon clinical entity. The definitive diagnosis is possible only with histopathological examination. It is important to rule out other comorbidities existing with endosalpingiosis.

Endosalpingiosis, Tubectomy scar, Histopathological examination

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