Abstract
Spontaneous abdominal wall endometriosis or scar endometriosis is rare clinical entity and often misdiagnosed. Patients can present with painful lump or nodule over abdominal wall which can be adjacent to previous scar or at independent location. Symptoms can be associated with cyclic menstruation or without any relation to it. Different available modalities for diagnosis are Fine needle aspiration cytology and biopsy, ultrasonography of abdomen and pelvis, computed tomography and magnetic resonance image. Most accepted treatment modality is surgical exicision. Aim of this case report is to highlight the diagnostic dilemma present in this clinical entity. In our case 24 year old female presented with painful nodule in right iliac fossa. Excision of nodule was performed and specimen was sent for Histopathological examination, which revealed the diagnosis of abdominal wall endometriosis.
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