Posttraumatic intrauterine omental implantation mimicking lipomatous lesion 16 years later

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A case report describes an intrauterine omental implant mimicking a lipoma 16 years after uterine perforation, highlighting this rare complication in the differential diagnosis of endometrial lesions.

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This brief communication describes a rare case where traumatic uterine perforation led to the implantation of omental tissue within the endometrial cavity. Sixteen years after the initial injury, the patient presented with symptoms that mimicked an endometrial lipoma, leading to the identification of the ectopic omental tissue. The authors emphasize that clinicians should consider posttraumatic omental implantation in the differential diagnosis when evaluating uterine lipomatous lesions. This paper is tangentially related to adenomyosis as it involves abnormal tissue implantation within the uterine wall, though it focuses on omental rather than endometrial stromal cells.

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Abstract

A case of traumatic perforation of the uterus with subsequent omental implantation in the endometrial cavity clinically presenting 16 years later as an endometrial lipoma is discussed. This case should alert clinicians to the existence of such a complication to be included in their differential diagnosis of lipomatous lesions of the uterus.
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Brief Communication: PDF Only Posttraumatic Intrauterine Omental Implantation Mimicking Lipomatous Lesion 16 Years Later - Ali-Reza Armin - Amir Moradi - Gayle Winters International Journal of Gynecological Pathology 6(1):p 89-92, March 1987. A case of traumatic perforation of the uterus with subsequent omental implantation in the endometrial cavity clinically presenting 16 years later as an endometrial lipoma is discussed. This case should alert clinicians to the existence of such a complication to be included in their differential diagnosis of lipomatous lesions of the uterus. Copyright ©1987International Society of Gynecological Pathologists

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MeSH descriptors

Lipoma Omentum Omentum Uterine Neoplasms Uterine Perforation Uterine Rupture Adult Curettage Curettage Diagnosis, Differential Female Humans Lipoma Postoperative Complications Pregnancy Uterine Neoplasms Uterine Perforation Uterine Perforation Uterine Rupture

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openalex
last seen: 2026-06-04T00:00:01.174412+00:00
pubmed
last seen: 2026-10-08T21:35:38.388284+00:00
unpaywall
last seen: 2026-10-26T06:31:53.434635+00:00
License: CC0 · commercial use OK