The DOI matches its Crossref record.
Scar Endometriosis in the Abdominal Wall: a Predictable Condition for Experienced Surgeons
Abstract
PURPOSE: Endometriosis in surgical scars develops in 0.1% of those women who undergo Caesarean section or other obstetric surgery. Herein we analyse and discuss the clinico-pathological characteristics of 15 patients with scar endometriosis in the abdominal wall. METHODS: Fifteen cases of scar endometriosis in the abdominal wall that were treated surgically in our department between 2003 and 2009 were examined retrospectively. Age, parity, complaint, medical or surgical history, pre/postoperative hormonotherapy, size of the mass, surgical procedure, follow-up and disease recurrence were analysed. RESULTS: This retrospective study included 15 patients presenting with 17 postoperative abdominal wall masses. The mean age of the patients was 32.1 +/- 6.0 years (range, 23-48). Eleven of the patients had a painful mass that became bigger before menstruation, two had palpable masses only, and two were hospitalised because of a mass with persistent pain. The locations of the masses were as follows: eight were close to the right side and three were close to the left side; two were in the middle of the Pfanenstiel incision and two were in trocar tracts. The patients' surgical histories included Caesarean section in thirteen, bilateral laparoscopic ovarian cyst excision in one, and laparoscopic appendectomy in one. CONCLUSIONS: If a patient presents with incision pain and a palpable mass after gynaecologic surgery, an incisional endometrioma should be considered. Surgical excision and hormone therapy are effective treatment approaches in these patients.
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In the citing paper
“The treatment of choice for scar endometriosis is wide local excision of the lesion with negative margins, even for recurrent disease.”
From Laparoscopic trocar port site endometriosis: a case report and brief literature review. (2012) · cites this paper as [5]
In the citing paper
“Although useful, CT, USG, and MRI cannot provide a definitive preoperative diagnosis.”
From Laparoscopic trocar port site endometriosis: a case report and brief literature review. (2012) · cites this paper as [5]
In the citing paper
“The CT and MRI characteristics of abdominal wall endometriosis are nonspecific, with both showing a solid enhancing mass in the abdominal wall.”
From Laparoscopic trocar port site endometriosis: a case report and brief literature review. (2012) · cites this paper as [5]
In the citing paper
“The diagnosis of scar endometriosis is usually highly suggestive from the patient's history and examination.”
From Laparoscopic trocar port site endometriosis: a case report and brief literature review. (2012) · cites this paper as [5]
In the citing paper
“A trocar port site endometrioma might develop from the peritoneal seeding of cells because of pneumoperitoneum or from direct contact of the excised lesion with the port tract.5,8”
From Laparoscopic trocar port site endometriosis: a case report and brief literature review. (2012) · cites this paper as [5]
In the citing paper
“Medical therapy is also used in the treatment of scar endometriosis and includes nonsteroidal anti-inflammatory agents, oral contraceptives, gonadotropin-releasing hormone analogues, aromatase inhibitors, and radiofrequency ablation therapy.5”
From Laparoscopic trocar port site endometriosis: a case report and brief literature review. (2012) · cites this paper as [5]
In the citing paper
“The differential diagnosis of surgical scar endometriosis is broad and is often confused with other pathologic conditions, such as a suture granuloma, abscess, inguinal or incisional hernia, soft-tissue sarcoma, desmoid tumor, lipoma, metastatic tumor, and sebaceous cyst.”
From Laparoscopic trocar port site endometriosis: a case report and brief literature review. (2012) · cites this paper as [5]
In the citing paper
“Scar endometriosis (SE), although described in literature, is extremely rare.1,2”
From Scar endometriosis: A series of 3 cases (2016) · cites this paper as [1]
In the citing paper
“A trocar port site endometrioma may arise from direct contact between the excised lesion and the port tract or by peritoneal seeding of cells due to pneumoperitoneum [21,43].”
From Insights Into Laparoscopic Port Site Complications: A Comprehensive Review (2024) · cites this paper as [43]
In the citing paper
“In patients with the typical presentation of a palpable mass, cyclic pain, and a prior port site scar, this diagnosis is typically not difficult to make. This is particularly true in cases of gynecologic procedures that expose the uterine cavity or treat pelvic endometriosis [43].”
From Insights Into Laparoscopic Port Site Complications: A Comprehensive Review (2024) · cites this paper as [43]
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Sorted by citations
Abdominal wall endometriosis in the cesarean section surgical scar: A potential diagnostic pitfall
Özel, L., Sağıroğlu, J., Unal, A., Ünal, E., Güneş, P., Başkent, E., Aka, N., Titiz, M. İ., & Tüfekçi, E. C. (2012) · Journal of obstetrics and gynaecology research · doi:10.1111/j.1447-0756.2011.01739.x · Cited by 83
“These data seem to be in agreement with their previous supposition of a possible interaction between previous abdominal surgery and the mechanisms of endometriosis development; however, in a recent study performed on fifteen patients with scar endometriosis, eight of the lesions were seen to be located on the right si…”
ResultAbdominal wall endometriosis: an update in clinical, imagistic features, and management options
Grigore, M., Socolov, D., Pavaleanu, I., Scripcariu, I., Grigore, A. M., & Micu, R. (2017) · Medical Ultrasonography · doi:10.11152/mu-1248 · Cited by 55
“Often a general surgeon consults on AWE cases, and it is important that not only gynecologists but also general surgeons are familiar with this entity [34].”
BackgroundLaparoscopic trocar port site endometriosis: a case report and brief literature review.
Emre, A., Akbulut, S., Yilmaz, M., & Bozdag, Z. (2012) · International Surgery · doi:10.9738/cc124.1 · Cited by 49
Self-citationYela, D. A., Trigo, L., & Benetti-Pinto, C. L. (2017) · Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics · doi:10.1055/s-0037-1603965 · Cited by 35
An unusual cause of acute appendicitis
Emre, A., Akbulut, S., Yılmaz, M. B., et al. (2012) · International Journal of Surgery Case Reports · doi:10.1016/j.ijscr.2012.07.018 · Cited by 34
Self-citation
Metadata
- Authors
- Akbulut, S., Mahsuni Sevinc, M., Bakir, S., Cakabay, B., & Sezgin, A.
- Affiliations
- Diyarbakır Gazi Yaşargil Eğitim ve Araştırma Hastanesi (TR)
- Department of Surgery, Diyarbakir, Turkey.
- Department of Pathology, Diyarbakir Education and Research Hospital, Diyarbakir, Turkey.
- ORCID
- Akbulut, S.
- Venue
- Acta Chirurgica Belgica
- Publisher
- Informa UK Limited
- Published
- 2010-01
- Volume
- 110
- Issue
- 3
- Pages
- 303-307
- ISSN
- 0001-5458 (ISSN-L)
- OpenAlex
- W1559532452
- Cited by
- 41
- References
- 0
- Citations by year
- 2025: 2 · 2024: 4 · 2023: 1 · 2022: 2 · 2021: 2 · 2020: 2 · 2019: 3 · 2018: 2 · 2017: 6 · 2016: 5 · 2015: 2 · 2014: 4 · 2013: 1 · 2012: 4
- FWCI
- 2.27
- 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 › Dermatology › Dermatologic Treatments and Research
- Keywords
- scar endometriosis, abdominal wall, cesarean section, surgical excision, hormone therapy, endometriosis recurrence
- MeSH terms
- Adult, Appendectomy, Buserelin, Cesarean Section, Cicatrix, Contraceptives, Oral, Danazol, Endometriosis, Estrogen Antagonists, Female, Fertility Agents, Female, Humans, Middle Aged, Ovarian Cysts, Pain, Postoperative Complications, Retrospective Studies, Surgical Mesh, Abdominal Wall
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