CASE REPORT;Endometrioma of the Abdominal Wall

Tamara N Huff, Tamara Huff, Huff TN, Geiger XJ, Xochiquetzal J. Geiger, Duffy GP, Gavan P. Duffy, O'Connor MI, Mary I. O’Connor, Mary I O'Connor
Clinical orthopaedics and related research · 2007 · vol. 463 , pp. 221–224 · doi:10.1097/blo.0b013e3181238312 · PMID:17572637 · W2790201908
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A 39-year-old woman presented with a fluctuating abdominal wall mass that, after MRI and surgical resection, was diagnosed as an endometrioma.

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This case report describes a 39-year-old woman presenting with an abdominal wall mass that exhibited cyclical pain correlated with her menstrual cycle. Magnetic resonance imaging identified a hemorrhagic multiloculated mass within the rectus abdominis muscle, leading to a preoperative diagnosis of endometrioma. Histologic analysis of the resected specimen confirmed the presence of ectopic endometrial tissue in the abdominal wall. This paper is centrally about endometriosis — specifically the rare presentation of extra-pelvic endometrioma in the abdominal wall.

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Abstract

We present the case of a 39-year-old woman with a 2- to 3-month history of a soft tissue mass involving the abdominal wall and increasing symptoms that fluctuated relative to her menses. Magnetic resonance imaging showed a hemorrhagic multiloculated mass within the rectus abdominus muscle. Correlation of the clinical history and imaging finding suggested a preoperative diagnosis of endometrioma of the abdominal wall. This was confirmed on histologic analysis of the resected specimen.
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SECTION III: REGULAR AND SPECIAL FEATURES CASE REPORT;Endometrioma of the Abdominal Wall - Tamara N Huff - Xochiquetzal J Geiger - Gavan P Duffy - Mary I O'Connor Clinical Orthopaedics & Related Research 463:p 221-224, October 2007. | DOI: 10.1097/BLO.0b013e3181238312 We present the case of a 39-year-old woman with a 2- to 3-month history of a soft tissue mass involving the abdominal wall and increasing symptoms that fluctuated relative to her menses. Magnetic resonance imaging showed a hemorrhagic multiloculated mass within the rectus abdominus muscle. Correlation of the clinical history and imaging finding suggested a preoperative diagnosis of endometrioma of the abdominal wall. This was confirmed on histologic analysis ofthe resected specimen. Copyright © 2007 Lippincott Williams & Wilkins, Inc.

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Condition tags

endometriosisendometrioma

MeSH descriptors

Abdominal Wall Endometrial Neoplasms Endometriosis Soft Tissue Neoplasms Abdominal Wall Adult Disease-Free Survival Endometrial Neoplasms Endometrial Neoplasms Endometriosis Endometriosis Female Humans Magnetic Resonance Imaging Soft Tissue Neoplasms Soft Tissue Neoplasms Tomography, X-Ray Computed Treatment Outcome

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