Abdominal wall endometriosis: a case report
Open accessAbstract
Abdominal wall endometriosis has an incidence of 0.3-1% of extrapelvic disease. Α 48-year-old female appeared in the emergency department with cellulitis in a lower midline incision. She had an endometrioma of the anterior abdominal wall removed 2 years ago. After 5 months, she underwent an open repair of an incisional hernia with a propylene mesh, which was unfortunately infected and removed 1 month later. Finally, in July 2019, she had her incisional hernia repaired with a biological mesh. Imaging modalities revealed a large mass below the umbilicus. Mass was punctured under ultrasound guidance. Cytology reported the recurrence of endometriosis. Pain and abdominal mass associating with menses were the two most typical symptoms. Wide local excision of the mass with at least 1 cm negative margins is the preferred treatment. Surgeons should maintain a high suspicion of the disease in reproductive women with circular pain, palpable abdominal mass and history of uterine-relating surgery.
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AWE manifests with recurring right lower quadrant pain, particularly during menstruation, and palpable masses at the cesarean scar site.
“It manifests with recurring right lower quadrant pain, particularly during menstruation, and palpable masses at the cesarean scar site.”
From Postcesarean section abdominal wall endometriosis: a rare case report (2024) · cites this paper as [12]
Cyclic pain is present in only 57% of patients, with the most common symptoms being the presence of a mass or the pain itself.
“However, it’s important to note that cyclic pain is present in only 57% of patients, with the most common symptoms being the presence of a mass or the pain itself12.”
From Postcesarean section abdominal wall endometriosis: a rare case report (2024) · cites this paper as [12]
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Cites
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“Occasionally, vascularity can be seen on color Doppler imaging [6, 9].”
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“Occasionally, vascularity can be seen on color Doppler imaging [6, 9].”
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Postcesarean section abdominal wall endometriosis: a rare case report
Ibrahim, R., Fadel, A., & Dika, Z. (2024) · Annals of Medicine & Surgery · doi:10.1097/ms9.0000000000002468 · Cited by 2 · see citing works
- Authors
- Stefanou, S. K., Tepelenis, K., Stefanou, C. K., Gogos-Pappas, G., Tsalikidis, C., & Vlachos, K.
- Affiliations
- General Hospital of Ioannina G. Hatzikosta (GR)
- University Hospital of Ioannina (GR)
- University Hospital of Alexandroupolis (GR)
- Corresponding author
- Stefanou, Christos K
- ORCID
- Venue
- Journal of Surgical Case Reports
- Publisher
- Oxford University Press (OUP)
- Published
- 2021-04-01
- Volume
- 2021
- Issue
- 4
- Pages
- rjab055-rjab055
- ISSN
- 2042-8812 (ISSN-L)
- PMC
- PMC8024042
- OpenAlex
- W3144436253
- Cited by
- 6
- References
- 10
- Citations by year
- 2026: 1 · 2024: 3 · 2023: 1 · 2014: 1
- FWCI
- 0.86
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Journal of Surgical Case Reports (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- 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, incisional hernia, endometrioma recurrence, abdominal wall mass, ultrasound-guided puncture, wide local excision, biological mesh, postoperative complications
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