Post Cesarean section scar endometriosis

Case contributed by Ian Bickle
Diagnosis almost certain

Presentation

Lump over cesarian section scar, worse during menses.

Patient Data

Age: 35 years
Gender: Female

IUCD in the endometrial cavity.

2.7 cm well-defined soft tissue nodule in the subcutaneous tissue abutting the anterior aspect of the rectus abdominus muscle.  Minimal internal vascularity.  This is at the site of a Cesarean section scar.

Case Discussion

Classical presentation and imaging appearances of scar endometriosis.   

The site of a prior Cesarean section is a typical site.

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