Intramuscular Abdominal Wall Endometriosis: A Case Study

Abdominal wall endometriosis is the most common site of extra-pelvic disease, the pathophysiology of which remains unclear. Most of the cases are secondary to gynecologic surgery or obstetrical care. We report a case of a young woman suffering of cyclic right iliac fossa pain. Clinical finding are a deep hard and mobile nodule. Parietal ultrasound identified a hypoechogenic superficial nodule within the rectus muscle measuring 20x08 mm. MRI confirmed parietal endometriosis diagnosis. Surgery has been performed with histologic confirmation of parietal endometriosis. The postoperative period was uneventful. Parietal endometriosis remains a rare entity that required an early diagnosis and management of this entity to prevent during each gynecological or obstetrical surgery.