Abdominal Wall Endometriosis
Abstract
Abdominal wall endometriosis (AWE) is a rare type of endometriosis defined as endometrial glands and stroma located within the abdominal wall. Patients with a history of prior abdominal surgery classically present with cyclic abdominal pain and a palpable mass. Definitive diagnosis is made by pathologic tissue examination, but preoperative imaging with ultrasonography or MRI helps narrow the differential and informs surgical management. Surgical management is traditionally via an open approach; however, laparoscopic removal of AWE is recommended for subfascial or rectus lesions. Following surgical excision, more than 90% of patients experience complete symptom relief.
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CS is responsible for 57-92% of AWE cases.
“Studies reveal that CS is responsible for 57–92% of AWE cases [3,5,23,26,32,33,34,35,36,37].”
From Surgical Reconstruction of Abdominal Wall Endometriosis Post-Cesarean Section: A Monocentric Experience of a Rare Pathology (2025) · cites this paper as [36]
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Fernicola, A., Calogero, A., Peluso, G., Santangelo, A., Santangelo, D., Crocetto, F., Califano, G., Sagnelli, C., Cavaliere, A., Sciarra, A., et al. (2025) · Journal of Clinical Medicine · doi:10.3390/jcm14155416 · Cited by 6 · see citing works
“These collections may become infected, potentially compromising surgical outcomes [36].”
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- Authors
- Foley, C. E., Ayers, P. G., & Lee, T. T.
- Affiliations
- Brown University (US)
- University of Pittsburgh (US)
- Corresponding author
- Foley, Christine E.
- ORCID
- Foley, Christine E.
- Venue
- Obstetrics and Gynecology Clinics of North America
- Publisher
- Elsevier BV
- Published
- 2022-06
- Volume
- 49
- Issue
- 2
- Pages
- 369-380
- ISSN
- 0889-8545 (ISSN-L)
- OpenAlex
- W4281730093
- Semantic Scholar
- f3d952c0309fceee4f5af4fa45cb0466f82a85cc
- Cited by
- 42
- References
- 41
- Citations by year
- 2026: 13 · 2025: 12 · 2024: 14 · 2023: 3
- FWCI
- 1.17
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Obstetrics and Gynecology Clinics of North America (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 › Public Health, Environmental and Occupational Health › Ectopic Pregnancy Diagnosis and Management
- Keywords
- abdominal wall endometriosis, endometriosis, cyclic abdominal pain, palpable abdominal mass, preoperative imaging, ultrasonography, magnetic resonance imaging, surgical excision, laparoscopic surgery, differential diagnosis
- MeSH terms
- Endometriosis, Endometrium, Female, Humans, Magnetic Resonance Imaging, Ultrasonography, Abdominal Wall
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