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Related Experiment Video

Updated: Nov 9, 2025

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

Abdominal wall endometriosis: a case report.

Stefanos K Stefanou¹, Kostas Tepelenis², Christos K Stefanou¹

¹Department of Surgery, General Hospital of Ioannina, G. Chatzikosta, Ioannina, Greece.

Journal of Surgical Case Reports

|April 15, 2021

Summary

Recurrent abdominal wall endometriosis can occur after surgical repair of an incisional hernia. Early detection and wide local excision are crucial for managing this condition in women with a history of uterine surgery.

Keywords:

abdominal wall endometrioma endometriosis fine-needle biopsy ultrasound

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Last Updated: Nov 9, 2025

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

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Published on: January 6, 2012

Area of Science:

Reproductive Medicine
Surgical Oncology
Abdominal Wall Surgery

Background:

Abdominal wall endometriosis is a rare extrapelvic manifestation of endometriosis, occurring in 0.3-1% of cases.
This case involves a 48-year-old female with a history of multiple abdominal surgeries, including endometrioma removal and incisional hernia repairs with different mesh types.

Observation:

The patient presented with cellulitis and imaging revealed a large infraumbilical mass.
Ultrasound-guided puncture and cytology confirmed recurrent endometriosis.

Findings:

Recurrence of endometriosis in the abdominal wall was diagnosed.
Typical symptoms include cyclical pain and an abdominal mass associated with menstruation.

Implications:

Wide local excision with at least 1 cm negative margins is the recommended treatment.
High clinical suspicion is warranted in reproductive-aged women presenting with cyclical abdominal pain, a palpable mass, and a history of uterine-related surgery.