Abdominal wall endometriosis

Case contributed by Ali Abougazia , 4 Nov 2013
Diagnosis almost certain
Changed by Matt A. Morgan, 16 Sep 2015

Updates to Case Attributes

Diagnostic Certainty was set to .
Body was changed:

AWith the right patient history, a right lower abdominal wall lesion as described, correlating is compatible with the patient’s history, this lesion is abdominal abdominal wall endometriosis related to C-section scar. Abdominal

Abdominal wall endometriosis is the most common location of extrapelvic endometriosis and usually occurs after cesarean section. A wide spectrum of disorders should be considered in the differential diagnosis including neoplasms such as a sarcoma, desmoid tumor, or metastasis and nonneoplasticnon-neoplastic causes such as a suture granuloma, hernia, hematoma, or abscess. However, abdominal wall endometriosis should always be the prime concernconsideration in patients with an abdominal wall mass near a cesarean section scar and the classical history of cyclical pain.

  • -<p>A right lower abdominal wall lesion as described, correlating with the patient’s history, this lesion is abdominal wall <a href="/articles/endometriosis">endometriosis</a> related to C-section scar. Abdominal wall endometriosis is the most common location of extrapelvic endometriosis and usually occurs after cesarean section. A wide spectrum of disorders should be considered in the differential diagnosis including neoplasms such as a sarcoma, <a href="/articles/desmoid-tumour">desmoid</a> tumor, or metastasis and nonneoplastic causes such as a <a href="/articles/suture-granuloma">suture granuloma</a>, <a href="/articles/abdominal-hernia">hernia</a>, <a href="/articles/rectus-sheath-haematoma">hematoma</a>, or abscess. However, <em>abdominal wall endometriosis should always be the prime concern</em> in patients with an abdominal wall mass near a cesarean section scar and the classical history of cyclical pain.</p>
  • +<p>With the right patient history, a right lower abdominal wall lesion is compatible with abdominal wall <a href="/articles/endometriosis">endometriosis</a> related to C-section scar. </p><p>Abdominal wall endometriosis is the most common location of extrapelvic endometriosis and usually occurs after cesarean section. A wide spectrum of disorders should be considered in the differential diagnosis including neoplasms such as a sarcoma, <a href="/articles/desmoid-tumour">desmoid</a> tumor, or metastasis and non-neoplastic causes such as a <a href="/articles/suture-granuloma">suture granuloma</a>, <a href="/articles/abdominal-hernia">hernia</a>, <a href="/articles/rectus-sheath-haematoma">hematoma</a>, or abscess. However, <em>abdominal wall endometriosis should always be the prime consideration</em> in patients with an abdominal wall mass near a cesarean section scar and the classical history of cyclical pain.</p>

Systems changed:

  • Gynaecology

Tags changed:

  • uterus
  • endometriosis
  • c-section

Updates to Study Attributes

Findings was changed:

The lower portion of the right rectus abdominis muscle's lower portion shows an irregular well defined complexenhancing, mainly solid, enhancing lesion measuring 5.3 Xx 4.4 Xx 4.1 cm, related to previous cesarean section scar. 

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.