Abstract
No abstract.
Highlights
We congratulate Dr Ian Haynes from Pietermaritzburg for his spot-on diagnosis for which he will receive the prize of R1000 sponsored by RSSA
Based on the location of the lesion, sonar features and magnetic resonance imaging (MRI) enhancement pattern, the principal radiological diagnosis was that of a desmoid tumour of the left rectus muscle
Endometriosis is a fairly common entity in women of childbearing age, occurring in 10% of the population, and is defined as the presence of normal endometrial tissue outside of the uterine cavity.[1]. These extra-uterine deposits of endometrium usually settle in the pelvis around the ovary or broad ligament
Summary
Postal address: Private Bag X08, Overport 4067, Durban, KwaZuluNatal, South Africa. How to cite this article: Misser SK, Steer DB, Purcell S. A 38-year-old woman presented with a painful left paramedian infra-umbilical abdominal wall mass She is a keen athlete and is otherwise well. Based on the location of the lesion, sonar features and MRI enhancement pattern, the principal radiological diagnosis was that of a desmoid tumour of the left rectus muscle. Microscopic pathologic assessment (Figure 5) confirmed, in addition to a background fibromatous stroma, the presence of endometrial tissue within the lesion This included the presence of cysts and/or endometrial glands lined by tall columnar endometrial cells associated with a small amount of surrounding endometrial stroma. The final diagnosis was abdominal wall endometriosis with surrounding fibrosis
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