Scar endometriosis

Case contributed by Dr Maulik S Patel

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
ultrasound

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.

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