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Journal of Diagnostic Medical Sonography
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Endomnetriomna of the Anterior Abdominal Wall Not Related to a Previous Scar

Deepak G. Bedi, MD

Department of Radiology, Millard Fillmore Hospitals, Williamsville, Newv York; Division of Diagnostic Imaging, University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd., Box 57, Houston, TX 77030

Hosam Mostafa, MD

Department of Radiology, Medical College of Ohio, Toledo, Ohio

Endometriosis of the abdominal wall usually occurs in a scar, and rarely in the intact rectus abdominis muscle. A 38-year-old woman presenting with an abdominal wall mass, which was cyclically tender with her menstrual periods, had an endometrioma not related to a previous scar. Based on a sonogram, the mass was solid, hypoechoic, and situated entirely within the rectus muscle. The differential diagnosis includes abscess, hematoma, and neoplasm, but the cyclical tenderness and enlargement of the mass confirms the diagnosis.

Key Words: abdominal wall • ectopic endometrioma • endometriosis

Journal of Diagnostic Medical Sonography, Vol. 13, No. 6, 295-296 (1997)
DOI: 10.1177/875647939701300605


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