Presentation
History of a C-section 3 years ago. The patient presented 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.
Patient Data
Age: 30 years
Gender: Female
From the case:
Scar endometriosis
{"study":{"id":9943,"case_slug":"scar-endometriosis","modality":"Ultrasound","series":[{"id":382224,"content_type":"image/jpeg","frames":[{"id":382224,"width":661,"height":552,"current":true}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"efa31c4bddf811819c49ca82fb633d_tiny.jpg","jumbo":"efa31c4bddf811819c49ca82fb633d_jumbo.jpg","small":"efa31c4bddf811819c49ca82fb633d_small.jpg","thumb":"efa31c4bddf811819c49ca82fb633d_thumb.jpg","medium":"efa31c4bddf811819c49ca82fb633d_medium.jpg","gallery":"efa31c4bddf811819c49ca82fb633d_gallery.jpg","big_gallery":"efa31c4bddf811819c49ca82fb633d_big_gallery.jpg","original":"efa31c4bddf811819c49ca82fb633d.jpg"}]},"perspective":null,"specifics":null}],"caption":{"us":null,"gb":null},"findings":{"us":"\u003cp\u003eUltrasound 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.\u003c/p\u003e","gb":"\u003cp\u003eUltrasound 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.\u003c/p\u003e"},"contributor_login":"maulikspatel","case_id":9262,"case_key_image_id":null,"case_featured_at":null},"current_user":null,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_pin":false}}
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.
Case Discussion
The patient underwent an excision of the lesion. Histopathology report: endometrioma.