Endometriotic deposit of the anterior abdominal wall

Case contributed by Frank Gaillard
Diagnosis certain

Presentation

Palpable tender right lower quadrant mass.

Patient Data

Age: 20 years
Gender: Female

There is a mixed-to-hypoechoic, heterogeneous, lobulated mass in the subcutaneous tissue of the right lower quadrant. This mass is mobile and is clearly separate from the anterior abdominal wall muscles.  It measures 2.4 cm x 1.2 cm x 1.9 cm and demonstrates some intrinsic blood flow when evaluated with Doppler.  No subcutaneous fluid collection, hematoma or other mass is identified.

Case Discussion

PATHOLOGY

Endometriosis (path proven).

Case courtesy of Behrang Amini MD

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