Endometrioma localized in the rectus abdominis muscle: a case report and review of literature
This case report details an endometrioma found in the rectus abdominis muscle of a 31-year-old female, presenting as a painful mass near a previous cesarean section scar.
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This paper reports a 31-year-old woman with a painful, enlarging mass in the left rectus abdominis region at a prior Pfannenstiel incision, one month after urology referral for inguinal pain. Using ultrasound and MRI, the lesion was described as a small (about 2 cm) nodular mass with imaging features consistent with an endometrial implant, with differential diagnosis including desmoid tumor; surgical excision resolved symptoms, and pathology identified endometrial glands and stroma within muscle/connective tissue. The authors note that abdominal wall/rectus muscle endometrioma is very rare, with about 20 previously reported cases, and highlight cyclic pain associated with menses and prior cesarean section as common themes, while acknowledging limitations such as lack of established molecular markers and that fine-needle aspiration has been reported as ineffective in establishing diagnosis. This paper is centrally about endometriosis — a rectus abdominis muscle endometrioma at a cesarean-section scar region with imaging, surgical, and histopathology findings.
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- europepmc
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