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Endometrioma in a virgin abdomen masquerading as an intramuscular lipoma.

Al Shakarchi J, Bohra A - J Surg Case Rep (2015)

Bottom Line: Endometriosis is the presence of endometrial tissue outside the uterine cavity.It has been previously reported in the abdominal wall secondary to gynaecological surgery.We present the case of a 32-year woman with endometrioma of the abdominal wall masquerading as an intramuscular lipoma with no previous surgical history.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of General Surgery, Russells Hall Hospital, Dudley, UK j.alshakarchi@nhs.net.

No MeSH data available.


Related in: MedlinePlus

Ultrasound scan showing a hard 2 x 3cm lesion in her left rectus.
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RJV023F1: Ultrasound scan showing a hard 2 x 3cm lesion in her left rectus.

Mentions: A 32-year-old lady was referred to our clinic with complaints of a painful lower abdominal lump. It had been present for 4 months and had become more symptomatic over time. She had a past medical history of hyperthyroidism but nothing else of note. Abdominal examination revealed a 2-cm infra-umbilical palpable lump within the left rectus muscle which was mildly tender and did not have a cough impulse. An ultrasound scan showed a hard 2 × 3 cm lesion in her left rectus and no evidence of a hernia (Fig. 1). To characterize the lesion further, an magnetic resonance imaging (MRI) scan was organized and it revealed a benign lesion consistent with an intramuscular lipoma (Fig. 2). She was taken to the theatre for excision of the lump. Intra-operatively she was found to have an inflammatory mass and therefore a wide excision was carried out. The patient was discharged with no complications. Histological examination revealed endometriosis of the abdominal wall. She has been followed for 6 months with no signs of a recurrence.Figure 1:


Endometrioma in a virgin abdomen masquerading as an intramuscular lipoma.

Al Shakarchi J, Bohra A - J Surg Case Rep (2015)

Ultrasound scan showing a hard 2 x 3cm lesion in her left rectus.
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4363691&req=5

RJV023F1: Ultrasound scan showing a hard 2 x 3cm lesion in her left rectus.
Mentions: A 32-year-old lady was referred to our clinic with complaints of a painful lower abdominal lump. It had been present for 4 months and had become more symptomatic over time. She had a past medical history of hyperthyroidism but nothing else of note. Abdominal examination revealed a 2-cm infra-umbilical palpable lump within the left rectus muscle which was mildly tender and did not have a cough impulse. An ultrasound scan showed a hard 2 × 3 cm lesion in her left rectus and no evidence of a hernia (Fig. 1). To characterize the lesion further, an magnetic resonance imaging (MRI) scan was organized and it revealed a benign lesion consistent with an intramuscular lipoma (Fig. 2). She was taken to the theatre for excision of the lump. Intra-operatively she was found to have an inflammatory mass and therefore a wide excision was carried out. The patient was discharged with no complications. Histological examination revealed endometriosis of the abdominal wall. She has been followed for 6 months with no signs of a recurrence.Figure 1:

Bottom Line: Endometriosis is the presence of endometrial tissue outside the uterine cavity.It has been previously reported in the abdominal wall secondary to gynaecological surgery.We present the case of a 32-year woman with endometrioma of the abdominal wall masquerading as an intramuscular lipoma with no previous surgical history.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of General Surgery, Russells Hall Hospital, Dudley, UK j.alshakarchi@nhs.net.

No MeSH data available.


Related in: MedlinePlus