Diagnostic dilemma in a case of abdominal wall tumour: a case report

Shahana Shermin, Ayesha Noor, Flora Tasmin Nahar, Nurun Naher
In: BIRDEM Medical Journal · 2026 · vol. 16(2) , pp. 104–108 · doi:10.3329/birdem.v16i2.91873 · W7169159250
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-07-18 ⓘ

This case report details a painful abdominal wall mass in a 28-year-old woman, initially suspected as lipoma or scar endometriosis, but diagnosed as a desmoid tumor via histopathology after laparotomy.

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⚙ AI-generated deep summary by qwen3.7-flash, 2026-09-05 · read from full text ⓘ

This case report describes a 28-year-old woman presenting with a painful swelling at her previous Caesarean section scar site. Initial clinical examination suggested either a lipoma or scar endometriosis, while pelvic ultrasonography indicated a mass in the right adnexal region, creating a complex diagnostic picture. The patient underwent laparotomy, and histopathological analysis ultimately confirmed the diagnosis as an abdominal wall desmoid tumor, highlighting the difficulty in distinguishing this condition from other abdominal masses. Relevance to endometriosis: scar endometriosis is listed as one of the initial differential diagnoses considered before the correct identification of the desmoid tumor was made via histopathology.

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Abstract

Desmoid tumour or aggressive fibromatosis is a rare abdominal wall mass often confused with other conditions. Though imaging modalities are important for diagnosis of an abdominal wall mass, histopathology gives the definitive diagnosis. Here, we present a case history of a 28-year-old lady who presented with a painful swelling over the previous Caesarean section scar. Local examination was suggestive of a lipoma or scar endometriosis but a pelvic ultrasonography suggested a mass in the right adnexal region. So, with varied differentials in mind, laparotomy was done and ultimately it was diagnosed as a case of abdominal wall desmoid tumour on histopathology. BIRDEM Med J 2026; 16(2): 104-108
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Diagnostic dilemma in a case of abdominal wall tumour: a case report Keywords: abdominal wall tumour, desmoid tumour, fibromatosisAbstract Desmoid tumour or aggressive fibromatosis is a rare abdominal wall mass often confused with other conditions. Though imaging modalities are important for diagnosis of an abdominal wall mass, histopathology gives the definitive diagnosis. Here, we present a case history of a 28-year-old lady who presented with a painful swelling over the previous Caesarean section scar. Local examination was suggestive of a lipoma or scar endometriosis but a pelvic ultrasonography suggested a mass in the right adnexal region. So, with varied differentials in mind, laparotomy was done and ultimately it was diagnosed as a case of abdominal wall desmoid tumour on histopathology. BIRDEM Med J 2026; 16(2): 104-108 0 0

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