Parietal endometriosis is a rare clinical entity whose pathophysiology remains unclear. It occurs most often after gynecological or obstetrical surgery. We report the case of a patient with cyclic pain at the level of the caesarean section scar. With clinical examination, two nodules on both sides of the scar increase in size associated with pain punctuated by the menstrual cycle. Pelvic ultrasonography showed two nodular formations of hypoechoic, avascular Doppler echo, apparently in relation to endometriotic nodules. Hence the decision to excise the lesion widely, whose anatomopathological study confirms the diagnosis of parietal endometriosis. Postoperative follow-up was straight forward with a follow-up of 12 months without recurrence of lesions or pain. Through our case, we will insist on the characteristics of this pathology, which will allow the practitioner to understand the interest of the diagnosis and early management of this condition as well as the possibility of its prevention during each gynecological surgery or obstetric.

Cervical pregnancy is one of the few ectopic locations after abdominal pregnancy. It is characterized by the migration of the conceptus the cervical canal sometimes simulating an ongoing abortion. Her diagnosis should be suspected in any woman with risk factors who has suggestive clinical criteria. The ultrasonographic criteria that have been described for this diagnosis are: closed internal orifice of the cervix, peritrophoblastic vascular flow detected in infra-cervical. MRI can be helpful in confirming the diagnosis. The anatomopathological study comes to focus on the diagnosis in case of surgical treatment. The treatment of cervical pregnancy uses several local, systemic methods, endoscopic, and surgical. Until now, no standard treatment is available in the literature. The therapeutic indications are then variously appreciated in the literature, the medical treatment using the Methotrexate is currently the treatment of choice before 12 weeks of amenorrhea, with or without potassium chloride. As for surgical treatment is placed in second line after failure of methotrexate, however some experienced practitioners prefer hysteroscopic resection, and embolization of the uterine artery associated or not with medical treatment. The choice of the technique will depend on the evolution of the initial treatment.