SURGICAL SCAR SWELLING SURPRISES SURGEONS WITH ENDOMETRIOSIS

Volume : IV, Issue : IV, April - 2015

Dr. Shanta B. Patil, Dr. Akshaymahesh Kriplani

With a reported incidence of 0.03%–3.5% Abdominal Wall Endometriosis (AWE) is a rare entity. A 32year old female who

presents with a 3x3cm lump over the right inguinal region since one year, just along the scar of the previous caesarean

section, done 18 months back. With an increase in size in the last 6 months, there was a classical history of cyclical pain.

USG abdomen confirmed it as an isoechoic lesion within the muscle plane. FNAC showed glandular epithelial cells in clusters within spindle cell.

Forming an example of �Iatrogenic Direct Implantation Theory� of AWE, a wide surgical excision with 1cm clear margins was done; wherein the

mass was seen limited in the musculo–fascial planes; with primary closure of the defect. Diagnosis was confirmed on Histopathology. The patient

currently remains asymptomatic in the 6 months of post–operative follow up with no signs of recurrence.