Scar endometriosis

Case contributed by Dr Maulik S Patel

Presentation

Presented with complaint of Dysmenorrhoea for last 2 yrs. LSCS was done 7 yrs back.

Patient Data

Age: 30 yrs
Gender: Female
Ultrasound

There is an irregular, infra-umbilical, anterior abdominal wall lesion ( 19 x 15 x 11 mm ) in relation to previsous LSCS scar. It is in deeper part of subcutaenous fat plane; abutting anterior surface of rectus abdominis. The lesion is hypoechoic without calcification / cystic changes. Lesion is not compressible. There are few flow signals in peri-pheral part of the lesion. 

Case Discussion

Patient with previous LSCS presented with complaint of dysmenorrhea. Ultrasound shows an anterior abdominal wall lesion in vicinity of LSCS scar. Ultrasound findings with clinical background favor scar endometriosis.

Surgical excision of lesion was done. Histopatholgy revealed scar endometriosis. Free margins were noted in histopathology sample.

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Case information

rID: 13178
Published: 9th Mar 2011
Last edited: 13th Aug 2019
Inclusion in quiz mode: Included

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