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Cited by 7Endometriosis Research and TreatmentGynecological conditions and treatmentsTeratomas and Epidermoid Cysts

Multidisciplinary treatment of abdominal wall endometriosis: a case report and literature review.

Li, JinBo, Jiang, HongYe, Liang, YanChun, Yao, ShuZhong, Zhu, QingTang, Chen, ShuQin·2020·European Journal of Obstetrics & Gynecology and Reproductive Biology
DOI 10.1016/j.ejogrb.2020.04.046
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Abstract

A 31-year-old female patient presented with complaints of cyclic low abdominal wall pain and palpable abdominal mass for more than 4 years. Physical examination revealed a painful mass measuring 7 cm × 5 cm within the abdominal wall. Her surgical history included surgery for congenital lymphatic haemangioma twice and caesarean section delivery twice. Results of abdominal wall ultrasonography, magnetic resonance imaging, and enhanced computed tomography revealed a soft tissue mass within the abdominal wall, indicating abdominal wall endometriosis. Pathologic examination with fine-needle aspiration of the abdominal wall mass showed endometrial glands and stroma. A multidisciplinary treatment team was established at admission, and surgical excision of the abdominal wall endometriosis mass was recommended. Surgery was performed by our multidisciplinary treatment team. Intraoperatively, the abdominal wall muscle, symphysis pubis, and anterior bladder wall were found to be infiltrated by abdominal wall endometriosis tissue. The abdominal wall endometriosis mass was completely resected with part of the bladder wall, symphysis pubis periosteum, and abdominal wall muscle and fascia (measuring 9 cm × 8 cm × 6 cm). The abdominal wall defect could not be sutured in a routine manner; thus, autologous reconstruction of the abdominal wall defect with left anterolateral thigh musculocutaneous flap was performed. The patient recovered without complications, and follow-up was uneventful. The successful treatment in our case suggests that adequate preoperative examinations and multidisciplinary treatment team collaboration are crucial to the treatment of patients with large abdominal wall endometriosis mass. Anterolateral thigh musculocutaneous flap reconstruction may serve as an optional treatment for abdominal wall defects during surgical excision of abdominal wall endometriosis mass.

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Crossref · 10.1016/j.ejogrb.2020.04.046

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  • Large abdominal wall defects can be closed through a variety of ways, including unilateral or bilateral component separation with supportive mesh placed as an overlay, underlay, retrorectus or bridging mesh repair, whereas small defects may be reconstructed with mesh repair alone.

    “Large abdominal wall defects can be closed through a variety of ways, including unilateral or bilateral component separation with supportive mesh placed as an overlay, underlay, retrorectus or bridging mesh repair, whereas small defects such as our patient’s may be reconstructed with mesh repair alone.17”

    From Endometriosis in Patients Undergoing Plastic Surgical Procedures: A Case Report and Review of the Literature (2024) · cites this paper as [17]

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Authors
Li, J., Jiang, H., Liang, Y., Yao, S., Zhu, Q., & Chen, S.
Affiliations
Sun Yat-sen University (CN)
Corresponding author
Chen, ShuQin
ORCID
Venue
European Journal of Obstetrics & Gynecology and Reproductive Biology
Publisher
Elsevier BV
Published
2020-07
Volume
250
Pages
9-16
ISSN
  • 0028-2243 (ISSN-L)
  • 0301-2115
DOI
10.1016/j.ejogrb.2020.04.046
OpenAlex
W3019313681
Cited by
7
References
31
Citations by year
2024: 4 · 2023: 1 · 2022: 1 · 2021: 1
FWCI
0.66
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • European Journal of Obstetrics & Gynecology and Reproductive Biology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
  • Health Sciences › Medicine › Obstetrics and Gynecology › Gynecological conditions and treatments
  • Health Sciences › Medicine › Surgery › Teratomas and Epidermoid Cysts
Keywords
abdominal wall endometriosis, multidisciplinary treatment, surgical excision, abdominal wall reconstruction, abdominal wall defect, fine-needle aspiration, preoperative imaging
MeSH terms
Adult, Cesarean Section, Endometriosis, Female, Humans, Pregnancy, Thigh, Plastic Surgery Procedures, Abdominal Wall

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