Caesarean section scar endometrioma
A female patient with left iliac fossa pain. Previous Caesarean section 5 years ago.
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Fairly defined ovoid soft tissue mass lesion is seen in the lateral aspect of left rectus sheath being deep within subcutaneous tissue. It measures 2.2 x 2 cm. It exhibits isointense pattern on T1, hyperintense on T2 and shows inhomogeneous enhancement. It showed no fat content. The overlying subcutaneous fat is spared, no stranding and no extension beyond the under surface of the rectus sheath and peritoneal reflection.
Left lower quadrant anterior abdominal wall deep subcutaneous/muscular soft tissue mass. In view of previous Caesarean section scar, patient clinical findings and current and MRI features the possibility of Caesarean scar endometriosis should be considered.