Abdominal Wall Endometriosis
Open accessAbstract
Endometriosis of abdominal wall scar following operation on uterus and tubes is extremely rare. The late onset of symptoms after surgery is the usual cause of misdiagnosis. Scar endometriosis is a rare disease which is difficult to diagnose and should always be considered as a differential diagnosis of painful abdominal masses in women. The diagnosis is made only after excision and histopathology of the lesion. Preoperative differentials include hernia, lipoma, suture granuloma or abscess. Hence an awareness of the entity avoids delay in diagnosis, helps clinicians to a more tailored treatment and also avoids unnecessary referrals. We report a case of abdominal endometriosis. The definitive diagnosis of which was established by histopathological studies.
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Abdominal wall endometriosis (AWE) is among the rarest forms of primary endometriosis.
“Abdominal wall endometriosis (AWE) is among the rarest forms of primary endometriosis [20,21,22], accounting for 20% of cases, while most are secondary to obstetric and gynecological surgeries, including laparotomic, laparoscopic, or robotic procedures.”
From Surgical Reconstruction of Abdominal Wall Endometriosis Post-Cesarean Section: A Monocentric Experience of a Rare Pathology (2025) · cites this paper as [20]
The Abstract describes abdominal wall scar endometriosis after uterine or tubal surgery as extremely rare. But the paper does not classify AWE as a primary form of endometriosis or rank it among the rarest primary forms; the Discussion instead focuses on postoperative implantation. The Introduction gives an incidence for cesarean-scar endometriosis, not primary AWE. (LLM, conf=0.84)
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Cites
Abdominal Wall Endometriosis: Clinical Presentation and Imaging Features with Emphasis on Sonography
Hensen, J.-H. J., Van Breda Vriesman, A. C., & Puylaert, J. B. C. M. (2006) · American Journal of Roentgenology · doi:10.2214/ajr.04.1619 · Cited by 254 · see citing works
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Cesarean scar endometriosis – report of two cases
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Primary abdominal wall clear cell carcinoma arising in a Caesarean section scar endometriosis
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Flagged first, then by citations
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Fernicola, A., Calogero, A., Peluso, G., Santangelo, A., Santangelo, D., Crocetto, F., Califano, G., Sagnelli, C., Cavaliere, A., Sciarra, A., et al. (2025) · Journal of Clinical Medicine · doi:10.3390/jcm14155416 · Cited by 6 · see citing works
“Abdominal wall endometriosis (AWE) is among the rarest forms of primary endometriosis [20–22], accounting for 20% of cases, while most are secondary to obstetric and gynecological surgeries, including laparotomic, laparoscopic, or robotic procedures.”
Unexpected encounter with painless endometriosis during abdominoplasty.
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- Authors
- Upadhyaya, P., Karak, A., Sinha, A., Kumar, B., Karki, S., & Agarwal, C.
- Affiliations
- B.P. Koirala Institute of Health Sciences (NP)
- ORCID
- Venue
- Journal of Nepal Medical Association
- Published
- 2010-06-30
- Volume
- 49
- Issue
- 178
- Pages
- 158-60
- ISSN
- 0028-2715 (ISSN-L)
- 1815-672X
- OpenAlex
- W1570992188
- Cited by
- 7
- References
- 14
- Citations by year
- 2025: 1 · 2022: 1 · 2020: 1 · 2019: 1 · 2015: 1 · 2013: 1 · 2012: 1
- FWCI
- 0.76
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by
- Locations
- Journal of Nepal Medical Association (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Obstetrics and Gynecology › Gynecological conditions and treatments
- Health Sciences › Medicine › Surgery › Diagnosis and treatment of tuberculosis
- Keywords
- abdominal wall endometriosis, scar endometriosis, postoperative endometriosis, misdiagnosis, differential diagnosis, histopathological diagnosis, excision, hernia, lipoma, suture granuloma, abscess
- MeSH terms
- Adult, Cesarean Section, Cicatrix, Endometriosis, Female, Humans, Abdominal Wall
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