Scar endometriosis (CT)

Case contributed by Dr Praveen Jha

Presentation

A 30 year old female presented with a nodule at the caesarean scar site, with localized pain during menses.

Patient Data

Age: 30
Gender: Female
CT

An enhancing nodule seen in the subcutaneous fat in left iliac fossa region, with streakiness in its surrounding fat.

Case Discussion

Scar endometriosisis a pathological diagnosis, yet certain clinical features (like pain typically during menses), in a nodule at scar site, with some radiological features may point towards the diagnosis. MRI may be little more indicative, in the background of endometriosis, however isolated scar endometriosis is usually a clinico-radiological conclusion. For such a small nodule, excision biopsy is usually done, rather than FNAC. Excision biopsy proved diagnosis in this case.

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Case information

rID: 16162
Case created: 24th Dec 2011
Last edited: 4th Sep 2017
Inclusion in quiz mode: Included

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