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Abdominal wall endometriomas.

Ray G Blanco1, Vellore S Parithivel, Ajay K Shah

  • 1Department of Surgery, Bronx-Lebanon Hospital Center, 1650 Selwyn Ave., 4th Floor, Suite 4F, Bronx, NY 10457, USA.

American Journal of Surgery
|June 5, 2003
PubMed
Summary
This summary is machine-generated.

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Abdominal wall endometriomas often mimic surgical conditions, presenting as masses at incision sites. Wide surgical excision is the recommended treatment, with no observed recurrence in this study.

Area of Science:

  • Gynecology
  • Surgical Pathology
  • Medical Imaging

Background:

  • Abdominal wall endometriomas are frequently misdiagnosed as other surgical conditions.
  • This retrospective study focuses on 12 cases of abdominal wall endometriomas.

Purpose of the Study:

  • To analyze the clinical presentation, diagnosis, and management of abdominal wall endometriomas.
  • To evaluate the effectiveness of surgical excision for abdominal wall endometriomas.

Main Methods:

  • Retrospective analysis of 12 patients with abdominal wall endometriomas.
  • Review of clinical data, diagnostic methods, surgical procedures, and follow-up outcomes.

Main Results:

  • 12 out of 297 endometriosis patients (4%) had isolated abdominal wall endometriomas.

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  • Patients presented with abdominal masses at surgical scar sites, often with non-cyclical pain.
  • Preoperative diagnosis was accurate in only 33% of cases; common misdiagnoses included incisional hernia.
  • All patients underwent wide excision, with 2 requiring PTFE patch grafting.
  • No recurrence was observed during follow-up ranging from 4 months to 3 years.

    • Conclusions:

    • Abdominal wall endometriomas often present as abdominal masses with non-cyclical symptoms.
    • Imaging is nonspecific, and needle biopsy can aid diagnosis.
    • Wide surgical excision is the treatment of choice, effective for primary and recurrent lesions.