Abdominal wall endometriosis: a case report.
Daniel Paramythiotis1, Eleni Karlafti2,3, Ioannis Tsomidis1
1First Propaedeutic Surgery Department, AHEPA University General Hospital of Thessaloniki, 54636 Thessaloniki, Greece.
The Pan African Medical Journal
|June 10, 2022
Summary
Abdominal wall endometriosis, often linked to cesarean sections, can cause painful masses in surgical scars. Early diagnosis and surgical removal are key, but recurrence is possible.
Area of Science:
- Gynecology
- Surgical Pathology
Background:
- Abdominal wall endometriosis involves endometrial tissue in the anterior abdomen, typically following uterine surgery.
- Cesarean sections are a common predisposing factor for this condition.
Observation:
- A 42-year-old female presented with acute lower abdominal pain near a cesarean scar.
- Imaging revealed two masses in the abdominal wall, suspected to be endometriosis.
Findings:
- Surgical excision confirmed endometrial tissue within the abdominal wall masses.
- Histological analysis verified endometriosis secondary to a prior cesarean section.
Implications:
- Painful masses in surgical scars in women of reproductive age with obstetric surgery history should include endometriosis in differential diagnoses.
- Endometriosis recurrence can occur within five years post-conservative surgery, necessitating vigilant follow-up.
