Endometriosis of the abdominal wall
Abstract
Endometriosis of the abdominal wall typically occurs as a painful mass in a lower abdominal incision from previous cesarean section or hysterectomy. Most patients are young and in their active reproductive years. The histologic diagnosis requires a combination of either endometrial-like glands, endometrial stroma, or hemosiderin pigment. The diagnosis must be considered in any woman with an abdominal wall mass and a history of transabdominal gynecologic surgery. Wide excision offers the best chance to prevent recurrence.
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The age of 33.23 years represents the stage in which the woman is reproductively active.
“This age represents the stage in which the woman is reproductively active, initially described by Chun, Nelson and Maull (1990) 24 and also found in more recent studies 12,35,38 .”
From Abdominal Wall Endometriosis: Experience of the General Surgery Service of the Antônio Pedro University Hospital of the Universidade Federal Fluminense (2020) · cites this paper as [24]
The excision for abdominal wall endometriosis must be wide to remove all potentially involved skin, subcutaneous tissue, muscles, aponeuroses and peritoneum.
“the excision must be wide to remove all skin segments, subcutaneous tissue, muscles, aponeuroses and peritoneum potentially involved 2,[24][25][26][27]”
From Abdominal Wall Endometriosis: Experience of the General Surgery Service of the Antônio Pedro University Hospital of the Universidade Federal Fluminense (2020) · cites this paper as [24]
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Presentation of endometriosis to general surgeons: A 10-year experience
Singh, K. K., Lessells, A. M., Adam, D. J., Jordan, C., Miles, W. F. A., MacIntyre, I. M. C., & Greig, J. D. (1995) · Journal of British Surgery · doi:10.1002/bjs.1800821017 · Cited by 172 · see citing works
Spontaneous Endometriosis of the Abdominal Wall
Ideyi, S. C., Schein, M., Niazi, M., & Gerst, P. H. (2003) · Digestive Surgery · doi:10.1159/000070392 · Cited by 112 · see citing works
Roberge, R. J., Kantor, W. J., & Scorza, L. (1999) · The American Journal of Emergency Medicine · doi:10.1016/s0735-6757(99)90157-2 · Cited by 40 · see citing works
Umbilical endometriosis after unprotected removal of uterine pieces through the umbilicus
Koninckx, P. R., Donders, G., & Vandecruys, H. (2000) · The Journal of the American Association of Gynecologic Laparoscopists · doi:10.1016/s1074-3804(00)80045-6 · Cited by 33 · see citing works
Spontaneous abdominal wall endometriosis: a case report
Papavramidis, T. H. S., Sapalidis, K., Michalopoulos, N., Karayanopoulou, G., Raptou, G., Tzioufa, V., Kesisoglou, I., & Papavramidis, S. T. (2009) · Acta Chirurgica Belgica · doi:10.1080/00015458.2009.11680536 · Cited by 31 · see citing works
Rectus abdominis endometriosis: a report of two cases
Coeman, V., Sciot, R., & Breuseghem, I. V. (2005) · British Journal of Radiology · doi:10.1259/bjr/28183033 · Cited by 20 · see citing works
Spontaneous abdominal wall endometrioma: A case report
Kumar, R. R. (2021) · International Journal of Surgery Case Reports · doi:10.1016/j.ijscr.2020.12.016 · Cited by 13 · see citing works
Abdominal wall endometriosis without previous surgery
Esinler, İ., Güven, S., Akyol, D., et al. (2004) · Journal of Obstetrics and Gynaecology · doi:10.1080/0144361040019187 · Cited by 11 · see citing works
COSTA, J. E. F. R., ACCETTA, I., MAIA, F. J. S., & SÁ, R. A. M. D. (2020) · Revista do Colégio Brasileiro de Cirurgiões · doi:10.1590/0100-6991e-20202544 · Cited by 9 · see citing works
Cesarean scar endometriosis: Presentation of eleven clinical cases and review of the literature
Demiral, G., Aksoy, F., ÖZÇELİK, A. A., Şaban, B., Kuşak, M., Ekinci, Ö., & Erengül, C. (2011) · Journal of Turkish Society of Obstetric and Gynecology · doi:10.5505/tjod.2011.76768 · Cited by 9 · see citing works
“Pfannenstiel incision as opposed to the midline incision is the most commonly reported type(1,6).”
BackgroundEndometrioma de parede abdominal
Accetta, I., Accetta, P., Accetta, A. F., Maia, F. J. S., & Oliveira, A. P. F. D. A. (2011) · Revista do Colégio Brasileiro de Cirurgiões · doi:10.1590/s0100-69912011000100008 · Cited by 9 · see citing works
Scar endometrioma: awareness and prevention.
Bachir, J. S., & Bachir, N. M. (2002) · PubMed · Cited by 10 · see citing works
Endometrioma de parede abdominal
Accetta, I., Accetta, P., Accetta, A. F., Maia, F. J. S., & Oliveira, A. P. F. D. A. (2011) · ABCD Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) · doi:10.1590/s0102-67202011000100006 · Cited by 2 · see citing works
Endomnetriomna of the Anterior Abdominal Wall Not Related to a Previous Scar
Bedi, D. G., & Mostafa, H. (1997) · Journal of diagnostic medical sonography · doi:10.1177/875647939701300605 · Cited by 2 · see citing works
Balaban, M., Çilengir, A. H., & İdilman, İ. S. (2022) · Journal of Obstetrics and Gynaecology · doi:10.1080/01443615.2022.2109411 · Cited by 1 · see citing works
“However extra-pelvic regions such as nasal mucosa, eye, lung, spleen, intestine, bile duct, liver, stomach, adrenal gland, kidney, heart, diaphragm, umbilicus, cervix, vagina, vulva, spinal canal, central nervous system, breast, abdominal wall and extremities were also reported as rare sites for endometriosis (Chun et…”
BackgroundAbdominal wall endometrioma mimicking an incarcerated hernia
Babalis, D., & Simoglou, C. (2012) · Hellenic Journal of Surgery · doi:10.1007/s13126-012-0031-z · Cited by 1 · see citing works
Akut Karın Tablosu Yaratan Rektus Abdominis Endometrioması
Ulucanlar, H., Ağaç, A., Kutun, S., et al. (2008) · DSpace - AKÜ (Afyon Kocatepe University) · doi:10.18229/ktd.50383 · Cited by 1 · see citing works
Incisional endometriosis after cesarean section: A case report
Yavuz, E., Turğut, E., Cakiroglu, H. J., et al. (2010) · Journal of Endometriosis and Pelvic Pain Disorders · doi:10.5301/je.2010.1
Abdominal Scar Endometrioma Mimicking Incisional Hernia: A Diagnostic Pitfall
Alabassi, A., & Farghaly, M. M. (2001) · Medical Principles and Practice · doi:10.1159/000050371
Symptomatic endometriosis of rectus abdominis muscle in a patient with uterus didelphys
Şükür, Y. E., Gözüküçük, M., Kahraman, K., et al. (2012) · Journal of Turkish Society of Obstetric and Gynecology · doi:10.5505/tjod.2012.06641
“Almost all of the rectus abdominalis muscle endometriosis originate from the scar of previous surgery(2).”
BackgroundIncisional Endometriosis after Cesarean Section: A Case Report
Yavuz, E., Turğut, E., Cakiroglu, H. J., et al. (2010) · Journal of Endometriosis and Pelvic Pain Disorders · doi:10.1177/228402651000200108
Abdominal Wall Endometriosis Following Cesarean Section: A Retrospective Analysis
Demir, S. S., Ilgin, S. K., Duran, M. N., ŞAHİN, Ö., Demir, B., & Kılınç, N. (2026) · Journal of Clinical Medicine · doi:10.3390/jcm15145615
“A macroscopic excision margin of ≥ 1 cm is supported by our findings and endorsed in the literature [14,21].”
- Authors
- CHUN, J. T., NELSON, H. S., & MAULL, K. I.
- Affiliations
- University of Tennessee Medical Center (US)
- University of Tennessee at Knoxville (US)
- Venue
- Southern Medical Journal
- Publisher
- Southern Medical Association
- Published
- 1990-12
- Volume
- 83
- Issue
- 12
- Pages
- 1491-1492
- ISSN
- 0038-4348 (ISSN-L)
- OpenAlex
- W2468982248
- Cited by
- 21
- References
- 0
- Citations by year
- 2026: 1 · 2022: 1 · 2020: 2 · 2012: 2
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Southern Medical Journal (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 › Obstetrics and Gynecology › Endometrial and Cervical Cancer Treatments
- Keywords
- endometriosis, abdominal wall, abdominal wall mass, cesarean section, hysterectomy, histopathological diagnosis, wide local excision, recurrence prevention
- MeSH terms
- Abdominal Muscles, Adult, Diagnosis, Differential, Endometriosis, Female, Granuloma, Humans, Ovarian Cysts, Postoperative Complications
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