Female 39 years old who, with great fear, comes to review because she notices a painful 'bulge', in the infraumbilical region, to the right of the scar of two previous cesareans. The patient had three pregnancies, the first two ended in cesarean sections, the last with vaginal delivery. The patient says that it only takes a few months with this pain and in principle denied their relationship with the menstrual periods, after talking with her, falls into the account that has that problem since her last surgery (12 years ago). Examination of the area shows a nodular, hypoechogenic image with slightly irregular borders, measuring approximately 2.81 X 2.19 cm. Applying color Doppler we see normal flow in the nodular area and in its periphery. Elastography shows a tricolor pattern (Ueno score 2), which is a pattern of elasticity that suggests a benign lesion . We conclude with the diagnosis of Endometrioma by sowing in the abdominal wall, related to the cesarean of 12 years ago.
It is noteworthy that a case of implantation of endometrial cells in the abdominal wall takes so long to be diagnosed, we assume that this is due to the manifest fear of the patient to the medical performance, due to traumatic experiences of the patient with previous medical acts.