<p> With a reported incidence of 0.03%–3.5% Abdominal Wall Endometriosis (AWE) is a rare entity. A 32year old female who </p> <div>presents with a 3x3cm lump over the right inguinal region since one year, just along the scar of the previous caesarean </div> <div>section, done 18 months back. With an increase in size in the last 6 months, there was a classical history of cyclical pain. </div> <div>USG abdomen confirmed it as an isoechoic lesion within the muscle plane. FNAC showed glandular epithelial cells in clusters within spindle cell. </div> <div>Forming an example of “Iatrogenic Direct Implantation Theory” of AWE, a wide surgical excision with 1cm clear margins was done; wherein the </div> <div>mass was seen limited in the musculo–fascial planes; with primary closure of the defect. Diagnosis was confirmed on Histopathology. The patient </div> <div>currently remains asymptomatic in the 6 months of post–operative follow up with no signs of recurrence.</div>