Volume : 4, Issue : 4, April - 2015

SURGICAL SCAR SWELLING SURPRISES SURGEONS WITH ENDOMETRIOSIS

Dr. Shanta B. Patil, Dr. Akshaymahesh Kriplani

Abstract :

<p>&nbsp;With a reported incidence of 0.03%&ndash;3.5% Abdominal Wall Endometriosis (AWE) is a rare entity. A 32year old female who&nbsp;</p> <div>presents with a 3x3cm lump over the right inguinal region since one year, just along the scar of the previous caesarean&nbsp;</div> <div>section, done 18 months back. With an increase in size in the last 6 months, there was a classical history of cyclical pain.&nbsp;</div> <div>USG abdomen confirmed it as an isoechoic lesion within the muscle plane. FNAC showed glandular epithelial cells in clusters within spindle cell.&nbsp;</div> <div>Forming an example of &ldquo;Iatrogenic Direct Implantation Theory&rdquo; of AWE, a wide surgical excision with 1cm clear margins was done; wherein the&nbsp;</div> <div>mass was seen limited in the musculo&ndash;fascial planes; with primary closure of the defect. Diagnosis was confirmed on Histopathology. The patient&nbsp;</div> <div>currently remains asymptomatic in the 6 months of post&ndash;operative follow up with no signs of recurrence.</div>