All India Congress of Obstetrics & Gynaecology, 04–08 Jan 2009 · Birla Auditorium, Jaipur

This is a case report of a 31 year old P2L2 lady who presented with localized cyclical abdominal pain in the right iliac fossa for 3 years. Menstrual cycles were regular associated with dysmenorrheacongestive and spasmodic in nature and also increased pain in the right iliac fossa. She was a P2L2 , both caesarean sections, first one a vertical abdominal scar and the second a transverse abdominal scar done 7 and 5 years back, respectively. On examination there was a well circumscribed 3x3 cm mass in the region of the bifurcation of both scars in the right iliac fossa, surface and borders irregular and becomes prominent on head raising. Blood investigations were normal.