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Cited by 377Endometriosis Research and TreatmentGynecological conditions and treatmentsTeratomas and Epidermoid Cysts

Abdominal wall endometriomas

Blanco, Ray G, Parithivel, Vellore S, Shah, Ajay K, Gumbs, Milton A, Schein, Moshe, Gerst, Paul H·2003·The American Journal of Surgery
DOI 10.1016/s0002-9610(03)00072-2
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Abstract

Background The diagnosis of abdominal wall endometriomas is often confused with other surgical conditions.Methods A retrospective study was made of 12 patients presenting with an abdominal wall mass, which proved to be endometrioma.Results Of a total of 297 patients of endometriosis treated in our hospital over a 7-year period, 12 (4%) had isolated abdominal wall endometriomas. Their mean age was 29.4 years. The presenting symptoms were abdominal mass (n = 12), cyclical (n = 5) or noncyclic pain (n = 7), dyspareunia and dysmenorrhea (n = 1). All patients had a history of gynecologic operations and presented, after an average of 1.9 years, with a tender mass (average 4 cm) at the previous incision site. Preoperative diagnosis was correct in 4 patients (33%) who presented with a cyclically painful abdominal mass. The others were diagnosed as incisional hernia (n = 4), "abdominal wall tumor" (n = 2), and inguinal hernia (n = 2). All patients underwent wide excision of their endometrioma; 2 required polytetrafluoroethylene patch grafting for the resulting fascial defect. The diagnosis was confirmed at frozen section or conventional histological examination in all patients. At follow-up, ranging from 4 months to 3 years, there was no recurrence of endometrioma.Conclusions Scar endometrioma commonly presents as an abdominal mass with noncyclical symptoms. Imaging techniques are nonspecific and needle biopsy may confirm the diagnosis. Wide excision is the treatment of choice for abdominal wall endometrioma as well as for recurrent lesions.

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  • Scar endometriosis typically occurs after gynecological or obstetric procedures such as caesarean sections, laparoscopic procedures requiring uterine cavity manipulation, needle tract amniocenteses, or perineal episiotomies.

    “Scar endometriosis is a rare form of endometriosis that typically occurs after gynecological or obstetric procedures such as caesarean sections, various laparoscopic procedures that require uterine cavity manipulation, needle tract amniocenteses, or perineal episiotomies [7,8,9].”

    From Abdominal Wall Endometriosis: Two Case Reports and Literature Review (2020) · cites this paper as [9]

  • Symptoms of clear cell carcinoma arising from abdominal wall endometriosis may be easily mistaken for benign conditions such as a hernia, abscess, lipoma, or hematoma.

    “These symptoms may be easily mistaken for benign conditions such as a hernia, abscess, lipoma, or hematoma [6].”

    From Clear cell carcinoma arising from abdominal wall endometriosis—A report on two cases and literature review (2022) · cites this paper as [6]

  • A diagnostic dilemma often arises in the evaluation of women with clear cell carcinoma of the abdominal wall; this clinical entity may be mistaken for various benign causes of an abdominal wall mass such as an abscess, hernia, lipoma, hematoma, or lymphadenopathy.

    “A diagnostic dilemma often arises in the evaluation of women with clear cell carcinoma of the abdominal wall. This clinical entity may be mistaken for various benign causes of an abdominal wall mass such as an abscess, hernia, lipoma, hematoma, or lymphadenopathy [6].”

    From Clear cell carcinoma arising from abdominal wall endometriosis—A report on two cases and literature review (2022) · cites this paper as [6]

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Authors
Blanco, R. G., Parithivel, V. S., Shah, A. K., Gumbs, M. A., Schein, M., & Gerst, P. H.
Affiliations
Bronx-Lebanon Hospital Center (US)
Corresponding author
Schein, Moshe
ORCID
Venue
The American Journal of Surgery
Publisher
Elsevier BV
Published
2003-06
Volume
185
Issue
6
Pages
596-598
ISSN
0002-9610 (ISSN-L)
DOI
10.1016/s0002-9610(03)00072-2
OpenAlex
W2130853686
Cited by
377
References
26
Citations by year
2026: 1 · 2025: 7 · 2024: 19 · 2023: 11 · 2022: 14 · 2021: 17 · 2020: 16 · 2019: 13 · 2018: 14 · 2017: 76 · 2016: 13 · 2015: 13 · 2014: 17 · 2013: 19 · 2012: 20
FWCI
7.79
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • The American Journal of Surgery (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
scar endometriosis, abdominal wall mass, wide local excision, fascial defect, intraoperative frozen section, needle biopsy, dyspareunia, dysmenorrhea
MeSH terms
Adult, Cesarean Section, Cicatrix, Diagnosis, Differential, Dysmenorrhea, Dyspareunia, Endometriosis, Female, Humans, Muscular Diseases, Postoperative Complications, Pregnancy, Retrospective Studies, Tomography, X-Ray Computed, Abdominal Pain, Treatment Outcome, Abdominal Wall

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