Abdominal wall endometriosis (a narrative review)
Mara Carsote1, Dana Cristiana Terzea2, Ana Valea3
1Department of Endocrinology, "Carol Davila" University of Medicine and Pharmacy, 050474, Bucharest, Romania; "C.I. Parhon" National Institute of Endocrinology, 011863, Bucharest, Romania.
International Journal of Medical Sciences
|March 17, 2020
Summary
Abdominal wall endometriosis (AWE), a rare condition including caesarean scar endometriosis, is likely underestimated. Understanding its complex mechanisms and improving multidisciplinary care are crucial for diagnosis and treatment.
Area of Science:
- Gynecology
- Surgical Pathology
Background:
- Abdominal wall endometriosis (AWE) is a rare form of endometriosis, often involving caesarean scars.
- Its incidence is unknown and likely underestimated, with increasing rates expected due to rising caesarean and laparotomy procedures.
- Pathogenic mechanisms involve local inflammation, growth factors, estrogen stimulation, and potential epigenetic changes, but require further elucidation.
Purpose of the Study:
- To review the current understanding of abdominal wall endometriosis.
- To highlight diagnostic challenges and the need for improved investigation protocols.
Main Methods:
- Literature review of abdominal wall endometriosis.
- Analysis of pathogenic mechanisms and clinical presentations.
- Discussion of diagnostic and therapeutic approaches.
Main Results:
- AWE presents heterogeneously, often requiring a multidisciplinary approach for diagnosis.
- Histological examination is the primary diagnostic tool.
- Surgery remains the first-line treatment for AWE.
Conclusions:
- Abdominal wall endometriosis is a complex condition requiring further research into its mechanisms.
- Multidisciplinary investigation and management protocols are essential for optimal patient care.
