Extrapelvic endometriosis often presents as an atypical, painful abdom
inal mass often referred to the surgeon for diagnosis and treatment. T
he majority of extrapelvic endometriosis is found in surgical scars. W
e present a patient with an abdominal wall endometrioma that occurred
in a laparoscopy trocar tract. To our knowledge, this is the first suc
h case reported in the surgery or gynecology literature. With the incr
easing use of laparoscopy for gynecologic and general surgery procedur
es, this problem will likely become more common. The general surgeon s
hould know how to diagnose and treat endometriomas arising in laparosc
opic trocar tracts.