Presentation
Painful nodule at the left side of a caesarean scar
Patient Data
Age: 40 years
Gender: Female
From the case:
Caesarian scar endometriosis
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/78066/annotated_viewer_json?lang=gb"}
MR images shows a small nodule with irregular margins and internal areas of high signal intensity on T1WI (haemorrhagic areas) located in the subcutaneous fat on the left side of the caesarian scar
From the case:
Caesarian scar endometriosis
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/78306/annotated_viewer_json?lang=gb"}
Endometriotic implant (red arrow)
Caesarian scar (yellow arrow)
Case Discussion
MRI is the most sensitive modality for diagnosis of caesarian scar endometriosis, especially when small haemorrhagic areas are present within the lesion.