Spontaneous Endometriosis of the Abdominal Wall
Abstract
Background: The abdominal wall is the commonest site of extrapelvic endometriosis, which usually develops in association with a prior surgical scar. Case: A 28-year-old woman with two endometriomas in the recti abdominis, which developed in a scarless abdomen. Conclusions: Abdominal wall endometrioma can develop spontaneously in the absence of prior surgical scar and should be considered in the differential diagnosis of abdominal wall masses.
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Endometriosis is known to develop spontaneously and is usually found near or at the site of scars of surgeries such as hysterectomies, caesarean sections, laparoscopies, tubal ligations, and episiotomies.
“It is known to develop spontaneously [6] and is usually found near or at the site of scars of surgeries like hysterectomies, caesarean sections, laparoscopies, tubal ligations, and episiotomies [4,7].”
From 5-Year data analysis of patients following abdominal wall endometrioma surgery (2014) · cites this paper as [6]
The direct mechanical implantation theory cannot explain all cases of primary cutaneous endometriosis without prior abdominal surgery.
“However, this theory cannot explain all cases where few cases of primary cutaneous endometriosis without prior abdominal surgery such as vulva, perineum, groin, umbilicus, and extremities, hence these types of endometriosis could be caused by tubal retrograde spread, genetic and immunologic influences, lymphatic and vascular spread [15].”
From Case report: Caesarean scar endometriosis – A rare entity (2021) · cites this paper as [15]
Primary cutaneous endometriosis without prior abdominal surgery could be caused by tubal retrograde spread, genetic and immunologic influences, lymphatic and vascular spread.
“However, this theory cannot explain all cases where few cases of primary cutaneous endometriosis without prior abdominal surgery such as vulva, perineum, groin, umbilicus, and extremities, hence these types of endometriosis could be caused by tubal retrograde spread, genetic and immunologic influences, lymphatic and vascular spread [15].”
From Case report: Caesarean scar endometriosis – A rare entity (2021) · cites this paper as [15]
The mass of CSE appears hypoechoic and heterogeneous with messy internal echoes on ultrasound.
“The mass will appear hypoechoic and heterogeneous with messy internal echoes [15], [17].”
From Case report: Caesarean scar endometriosis – A rare entity (2021) · cites this paper as [15]
Ultrasonography is the best and most accessible, reliable, and cost-effective imaging technique to diagnose CSE.
“We also need to use ultrasonographic examination to prove our suggestion, it is the best and most accessible, reliable, and cost-effective imaging technique to diagnose CSE.”
From Case report: Caesarean scar endometriosis – A rare entity (2021) · cites this paper as [15]
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- Authors
- Ideyi, S. C., Schein, M., Niazi, M., & Gerst, P. H.
- Affiliations
- Bronx-Lebanon Hospital Center (US)
- Venue
- Digestive Surgery
- Publisher
- S. Karger AG
- Published
- 2003
- Volume
- 20
- Issue
- 3
- Pages
- 246-248
- ISSN
- 0253-4886 (ISSN-L)
- 1421-9883
- OpenAlex
- W2001222542
- Cited by
- 112
- References
- 14
- Citations by year
- 2025: 1 · 2024: 5 · 2023: 1 · 2022: 6 · 2021: 5 · 2020: 3 · 2019: 7 · 2018: 3 · 2017: 11 · 2016: 3 · 2015: 3 · 2014: 4 · 2013: 8 · 2012: 7
- FWCI
- 4.99
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Digestive 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
- abdominal wall endometriosis, endometrioma, spontaneous endometriosis, rectus abdominis, extrapelvic endometriosis
- MeSH terms
- Adult, Endometriosis, Female, Humans, Magnetic Resonance Imaging, Abdominal Wall
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