Rectus abdominis endometrioma

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A case of rectus abdominis endometrioma presenting as cyclical lower quadrant pain and a palpable abdominal mass is described, highlighting its rarity and differential diagnostic considerations.

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Abstract

A 31-year-old woman presented with complaints of increasingly severe right lower quadrant discomfort that had occurred for several days each month over the course of the previous 6 months. A tender mass of the abdominal wall was palpated on physical examination, and subsequent ultrasonography and magnetic resonance imaging disclosed a discrete mass of the body of the right rectus abdominis muscle which was confirmed as endometrial tissue on biopsy. Rectus abdominis endometrioma is a relatively rare cause of abdominal pain which may mimic an acute abdomen. Clinical clues to the diagnosis include previous uterine or gynecological surgery/invasive procedure (with preservation of ovarian function), cyclical nature of the discomfort, and the presence of a palpable mass with or without associated skin color changes.

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Condition tags

endometriosisendometrioma

MeSH descriptors

Abdominal Pain Endometriosis Muscular Diseases Periodicity Rectus Abdominis Abdominal Pain Adult Biopsy, Needle Diagnosis, Differential Emergency Treatment Emergency Treatment Endometriosis Endometriosis Female Humans Hysterectomy Hysterectomy Magnetic Resonance Imaging Muscular Diseases Muscular Diseases

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (24)

Cited by (36)

Source provenance

europepmc
last seen: 2026-09-06T09:34:12.023084+00:00
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