Massive abdominal wall endometriosis masquerading as desmoid tumour

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AI-generated summary by claude@2026-06, 2026-06-07

This case report details an instance of abdominal wall endometriosis following caesarean section that was initially misdiagnosed as a desmoid tumour, highlighting endometriosis as a potential differential diagnosis for abdominal lumps in females.

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AI-generated deep summary by claude@2026-06, 2026-06-07

This paper reports a case of massive abdominal wall endometriosis that developed after a prior caesarean section and was misdiagnosed clinically and radiologically as a desmoid tumour. The authors describe a 30-year-old woman with a gradually enlarging painful abdominal wall mass, using ultrasound and CT to characterize a large heterogeneous infraumbilical/anterior abdominal wall lesion, but final diagnosis required histopathology showing endometrial glands and stroma embedded in collagen-rich desmoplastic tissue infiltrating abdominal musculature and fat. The limitation is that this is a single case report, and the authors’ diagnostic and management narrative cannot establish generalizable performance of imaging for distinguishing endometriosis from other mass lesions. This paper is centrally about endometriosis—specifically massive abdominal wall endometriosis in a caesarean scar that mimicked a desmoid tumour.

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Abstract

Endometriosis is a common gynaecological condition that usually presents as an abdominal lump. It can be a diagnostic dilemma and should be considered as a differential diagnosis for lumps in the abdomen in females. We discuss a case of abdominal wall endometriosis following caesarean section, which was misdiagnosed as a desmoid tumour.

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Condition tags

endometriosis

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europepmc
last seen: 2026-06-11T06:19:48.454388+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-05-13T22:16:29.858026+00:00
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