Endometriotic Stones; Can they exist? A case report

Endometriosis is a gynaecological pathology that manifests as pelvic pain, infertility and cyclical issues. The presence of endometriotic tissue outside the uterus is the hallmark of endometriosis and commonest sites are ovaries, fallopian tubes, uterosacral ligaments and lateral pelvic peritoneum. Ovarian endometriotic cyst (EC) is typically a chocolate cyst that is often diagnosed by a combination of clinical history examination and radiological imaging. However, the definitive diagnosis requires histopathological confirmation. The management is complex and requires long term suppression of menstrual cycle and ovarian cystectomy. We hereby illustrate a case of a young female who presented with EC. During a routine daycare laparoscopic cystectomy, a rare finding of endometriotic stones was ascertained per-operatively. It has not been reported previously as per our knowledge. Patient remained well post operatively and was discharged in evening.