PMC5343249_01
Cesarean section scar with subcutaneous mass and orifice with brown leakage.
CRIOG2017-8062924.001.jpg
PMC5343249_01_CRIOG2017-8062924.001.jpg
fig1
Physical examination performed during her menstruation period found a palpable tender subcutaneous oval mass of 80 x 35 mm, located under the incision scar, with a small 2 mm diameter skin orifice at the center of the mass, producing thick brown leakage when pressuring the skin on both sides of the orifice (Figure 1).
Heterogenous hypoechoic mass at sonography.
CRIOG2017-8062924.002.jpg
PMC5343249_01_CRIOG2017-8062924.002.jpg
fig2
A few vascular satellite arterial structures were described (Figure 2).
Surgical exploration showing mass margins and extensions into the fascia layer.
CRIOG2017-8062924.003.jpg
PMC5343249_01_CRIOG2017-8062924.003.jpg
fig3
The mass was surrounded by fibrosis and small extensions through the aponeurosis were found (Figure 3).
Final surgical outcome with mass and skin excision.
CRIOG2017-8062924.004.jpg
PMC5343249_01_CRIOG2017-8062924.004.jpg
fig4
They were thoroughly removed, and the subsequent defects were repaired after complete excision of the mass, with no need of mesh placement (Figure 4).