Scar endometriosis
Updates to Case Attributes
28 year old female, with a past history of a C-section 3 yrs ago.
Now presenting with a palpable nodule on the right side of her lower abdomen, present for 6 months.
On physical exam a nodule was palpable in the anterior abdominal wall. It was 1 cm above the right lateral end of the abdominal wall scar.
USG shows well-defined, hypoechoic, ovoid lesion superficial to right rectus abdominis muscle which is indented by the lesion. Poor flow was seen on Power doppler in the periphery of the lesion.
Patient underwent a wide excision.
HistopatholgoyHistopathology report - : Endometrioma.
http://www.jultrasoundmed.org/cgi/content/full/22/10/1041#F1
-<p>28 year old female, with a past history of a C-section 3 yrs ago.</p><p>Now presenting with a palpable nodule on the right side of her lower abdomen, present for 6 months.</p><p>On physical exam a nodule was palpable in the anterior abdominal wall. It was 1 cm above the right lateral end of the abdominal wall scar.</p><p>USG shows well-defined, hypoechoic, ovoid lesion superficial to right rectus abdominis muscle which is indented by the lesion. Poor flow was seen on Power doppler in the periphery of the lesion.</p><p>Patient underwent a wide excision. </p><p>Histopatholgoy report - Endometrioma.</p><p><strong><a href="http://www.jultrasoundmed.org/cgi/content/full/22/10/1041#F1" title="http://www.jultrasoundmed.org/cgi/content/full/22/10/1041#F1">http://www.jultrasoundmed.org/cgi/content/full/22/10/1041#F1</a></strong></p><p><a href="/vendor/wymeditor/iframe/radiopaedia/Abdominal%20wall%20endometriosis:%20clinical%20presentation%20and%20imaging%20features%20with%20emphasis%20on%20sonography.%20A%20JR%20Am%20J%20Roentgenol.%202006%20Mar;186%283%29:616-20." title="Abdominal wall endometriosis: clinical presentation and imaging features with emphasis on sonography. A JR Am J Roentgenol. 2006 Mar;186(3):616-20. "><strong>Abdominal wall endometriosis: clinical presentation and imaging features with emphasis on sonography.<br />A JR Am J Roentgenol. 2006 Mar;186(3):616-20. </strong></a></p>- +<p>Patient underwent a wide excision. </p><p>Histopathology report: <a title="Scar endometriosis" href="/articles/scar-endometriosis">Endometrioma</a>.</p>
References changed:
- 1. Francica G, Giardiello C, Angelone G et-al. Abdominal wall endometriomas near cesarean delivery scars: sonographic and color doppler findings in a series of 12 patients. J Ultrasound Med. 2004;22 (10): 1041-7. <a href="http://www.ncbi.nlm.nih.gov/pubmed/14606559">Pubmed citation</a><span class="auto"></span>
- 2. Hensen JH, Van Breda Vriesman AC, Puylaert JB. Abdominal wall endometriosis: clinical presentation and imaging features with emphasis on sonography. AJR Am J Roentgenol. 2006;186 (3): 616-20. <a href="http://dx.doi.org/10.2214/AJR.04.1619">doi:10.2214/AJR.04.1619</a> - <a href="http://www.ncbi.nlm.nih.gov/pubmed/16498086">Pubmed citation</a><span class="auto"></span>
Systems changed:
- Musculoskeletal
Updates to Study Attributes
Ultrasound shows well-defined, hypoechoic, ovoid lesion superficial to right rectus abdominis muscle which is indented by the lesion. A small amount of flow was seen on power Doppler at the periphery of the lesion.
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