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Intraoperative Detection of Subtle Endometriosis: A Novel Paradigm for Detection and Treatment of Pelvic Pain Associated with the Loss of Peritoneal Integrity
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Intraoperative Detection of Subtle Endometriosis: A Novel Paradigm for Detection and Treatment of Pelvic Pain Associated with the Loss of Peritoneal Integrity

Published on: December 21, 2012

Abdominal wall endometriosis

Saleem Raza1, Rasikh Maqsood, Hammad Ahmad Siddiqi

  • 1Department of Radiology, PAF Hospital, Islamabad. ssrnaqvi@hotmail.com

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|February 10, 2010
PubMed

Abdominal wall endometriosis is a rare condition, which usually develops in a surgical scar of abdominal hysterectomy or Caesarean section. A 38-year-old lady presented in the surgical out patient department complaining of painful swelling in the lower abdomen, at the left edge of the scar of caesarean section. Computerized tomographic (CT) scanning of the pelvis with contrast revealed an enhancing mass in the abdominal wall extending from the skin to the muscle layer. A diagnosis of a tumour or an inflammatory mass was suggested and fine needle aspiration cytology (FNAC) of the lesion was advised to ascertain the nature of the lesion. The mass was removed completely and histopathology of the surgical specimen revealed endometriosis.

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