Caesarian scar endometriosis

Case contributed by Gustavo Aguiar
Diagnosis almost certain

Presentation

Painful nodule at the left side of a caesarean scar

Patient Data

Age: 40 years
Gender: Female
mri

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 

Annotated image

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.

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