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Related Experiment Video

Updated: Jun 15, 2026

Intraoperative Detection of Subtle Endometriosis: A Novel Paradigm for Detection and Treatment of Pelvic Pain Associated with the Loss of Peritoneal Integrity

Intraoperative Detection of Subtle Endometriosis: A Novel Paradigm for Detection and Treatment of Pelvic Pain Associated with the Loss of Peritoneal Integrity

Published on: December 21, 2012

Spontaneous abdominal wall endometriosis: a case report.

Th S Papavramidis¹, K Sapalidis, N Michalopoulos

¹3rd Department of Surgery, AHEPA University Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece. papavramidis@hotmail.com

Acta Chirurgica Belgica

|February 27, 2010

Summary

Spontaneous abdominal wall endometriosis (AWE) is a rare condition where endometrial tissue grows outside the uterus without prior scarring. Surgical excision is the primary treatment, offering a good prognosis with no recurrence observed in this case.

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Area of Science:

Gynecology
General Surgery

Background:

Endometriosis involves endometrial tissue outside the uterus.
Spontaneous abdominal wall endometriosis (AWE) occurs without prior surgical scars.
AWE is an extrapelvic manifestation of endometriosis, posing diagnostic challenges for general surgeons.

Observation:

A 28-year-old woman presented with a painful left lower quadrant abdominal mass with cyclic symptoms.
Initial diagnosis was lipoma; surgical exploration revealed two masses.
Pathology confirmed ectopic endometrial glands and stroma, consistent with spontaneous AWE.

Findings:

Spontaneous AWE is rare, comprising 20% of all AWE cases.
The triad of mass, pain, and cyclic symptoms aids diagnosis but is not always present.
Surgical excision is the definitive treatment for spontaneous AWE.

Implications:

Early diagnosis and surgical management of spontaneous AWE are crucial.
Complete excision ensures disease resolution and prevents recurrence.
This case highlights the importance of considering endometriosis in extrapelvic presentations.