Spontaneous abdominal wall endometriosis: a case report
Abstract
Endometriosis is the presence of endometrial glands and stroma outside the uterus. Spontaneous abdominal wall endometriosis (AWE) is any ectopic endometrium found superficial to the peritoneum without the presence of any previous scar. Rarely, endometriosis represents a disease of specific interest to the general surgeon, on account of its extrapelvic localisations. We describe a case with spontaneous AWE presenting as a painful mass with cyclic symptoms. A 28-year-old woman presented to the day-surgery division of our department, suffering from a painful mass in the left lower abdominal quadrant. A mobile mass of 5 x 4 cm was identified. The initial diagnosis was lipoma and excision was planned. During the operation two masses were spotted, very close to one another, and were excised within healthy limits. Pathology revealed endometrial glands surrounded by a disintegrating mantle of endometrial stroma and fibrous scar tissue in which there was a scattering of leucocytes. The woman had no scars. She was discharged from hospital after 2 hours. Two years after the excision she is free of disease and no recurrence has been observed. Spontaneous AWE is rare, accounting for 20% of all AWEs. The triad ; mass, pain and cyclic symptomatology helps in the diagnosis, but unfortunately it is not present in all cases. Spontaneous endometriomas are usually diagnosed by pathology and the treatment of choice is surgical excision.
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Abdominal wall endometriosis is associated with a history of obstetric or gynecologic procedures, although some cases occur spontaneously.
“It is associated with a history of obstetric or gynecologic procedures,2 12 although some cases occur spontaneously.16”
From Evaluation of cases of abdominal wall endometriosis at Universidade Estadual de Campinas in a period of 10 Years (2017) · cites this paper as [16]
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- Authors
- Papavramidis, T. H. S., Sapalidis, K., Michalopoulos, N., Karayanopoulou, G., Raptou, G., Tzioufa, V., Kesisoglou, I., & Papavramidis, S. T.
- Affiliations
- 3 Department of Surgery
- Aristotle University of Thessaloniki (GR)
- Department of Pathology AHEPA University Hospital, Aristotle University of Thessaloniki
- Venue
- Acta Chirurgica Belgica
- Publisher
- Informa UK Limited
- Published
- 2009-01
- Volume
- 109
- Issue
- 6
- Pages
- 778-781
- ISSN
- 0001-5458 (ISSN-L)
- 2577-0160
- OpenAlex
- W2346228002
- Semantic Scholar
- f9eddda4abc6e9ac563919513c47ca4e3706664a
- Cited by
- 31
- References
- 29
- Citations by year
- 2021: 6 · 2020: 1 · 2019: 3 · 2018: 3 · 2017: 4 · 2016: 1 · 2015: 1 · 2014: 5 · 2013: 3 · 2012: 2
- FWCI
- 1.57
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Acta chirurgica Belgica (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, spontaneous endometriosis, ectopic endometrium, surgical excision, lipoma misdiagnosis, extrapelvic endometriosis
- MeSH terms
- Adult, Endometriosis, Endometrium, Female, Humans, Abdominal Wall
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