Scar endometriosis

Case contributed by Nikhil Narayanan
Diagnosis almost certain

Presentation

Lower abdominal pain.

Patient Data

Age: 35 years
Gender: Female
ultrasound

Ultrasound images show a fairly well-defined hetero-echoic lesion confined to the subcutaneous fatty plane, at a depth of about 3 mm. Minimal vascularity is seen within the lesion on the color-duplex study.

Case Discussion

The patient presented with pain over the Cesarean surgical scar site with tenderness on palpation. Clinically, the patient also complained of aggravated pain during menstruation.

The Imaging and clinical features are together suggestive of scar endometriosis

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