Florid cystic endosalpingiosis with uterine preservation and successful assisted reproductive therapy

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•While endosalpingiosis is often asymptomatic & incidental, florid cystic endosalpingiosis can have a variable presentation•Cystic endosalpingiosis can be difficult to differentiate from other non-neoplastic peritoneal inclusion cysts•Although associated with serous pelvic neoplasms, there is no evidence for oophorectomy at the completion of fertility•There is no strong evidence that hysterectomy along with cyst resection leads to improved outcomes if pathology is benign•This is the first reported case of successful assisted-reproductive therapy after resected florid cystic endosalpingiosis.