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Answers on p 377.
A 38 year old women, para 3+1, presented with a two month history of painful swelling in her caesarean section scar. She had two caesarean sections seven and 10 years earlier. She had a long history of irregular menstrual periods.
On examination there was a tender, firm 2 × 2 cm swelling in the right side of the phannensteil incision scar. There was no cough impulse.
- What is the differential diagnosis?
- What investigations should you consider?
- How would you treat this patient?