Abdominal wall endometriosis: experience of the General Surgery Service of the Antônio Pedro University Hospital of the Universidade Federal Fluminense

Costa, Jorge Eduardo Faria Rocha; Accetta, Italo; Maia, Francisco José Santos; Sá, Renato Augusto Moreira de

doi:10.1590/0100-6991e-20202544

Cited by 8 publications

(23 citation statements)

References 34 publications

(27 reference statements)

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“…Mean age at diagnosis is 33.2–35 years, 11,12 and the elapsed time between the previous surgery and the diagnosis of secondary AWE may vary from 3 months to two decades 9 …”

Section: Introductionmentioning

confidence: 99%

Abdominal wall endometriosis: Report of 83 cases

Benedetto

Cacozza

Costa³

et al. 2022

Intl J Gynecology & Obste

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Abdominal wall endometriosis (AWE) is defined as the presence of endometriotic infiltration in any segment or depth of the abdominal wall. It is a rare and uncommon presentation of endometriosis. 1 This localization of the disease is poorly reported in the literature and its pathophysiology is only partially understood. [2][3][4] Spontaneous AWE occurs in a scarless abdomen and accounts for about 20% of all AWE. 5 More frequently, secondary AWE develops in a surgical scar resulting from an obstetric or gynecologic

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“…Mean age at diagnosis is 33.2–35 years, 11,12 and the elapsed time between the previous surgery and the diagnosis of secondary AWE may vary from 3 months to two decades 9 …”

Section: Introductionmentioning

confidence: 99%

Abdominal wall endometriosis: Report of 83 cases

Benedetto

Cacozza

Costa³

et al. 2022

Intl J Gynecology & Obste

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“…A cyclic or non-cyclic pain can also be present and is usually the most frequent complaint [ 17 ]. The diagnosis should be suspected even when there is no evident history of endometriosis in all women of reproductive age, especially with a history of cesarean surgery [ 18 ]. Patients with the skin form of CSE can present with swelling or brownish to blood-like discharge from the lesion during their menses [ 17 ].…”

Section: Reviewmentioning

confidence: 99%

Section: Prevalence and Symptomsmentioning

confidence: 99%

Cesarean Section: A Potential and Forgotten Risk for Abdominal Wall Endometriosis

Ananias¹,

Luenam²,

Melo³

et al. 2021

Cureus

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Cesarean section endometriosis (CSE) can be caused by the iatrogenic deposition of endometrial cells, glands, and stroma during any time of the surgical procedure. It can be asymptomatic or, more frequently, resulting in chronic pain. Our article intends to provide more clinical information on CSE symptomatology, diagnosis, and preventive methods available in the literature, and discuss the malignancy transformation risk. We performed a systematic review based on the Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines. We included all types of study designs and selected only English articles from 2016 and forward. A total of 268 patients with abdominal wall endometriosis (AWE) were included in the final review; 260 women had CSE and eight women had endometriosis related to another gynecologic procedure. Attention for suggestive symptoms during anamnesis and the presence of abdominal nodules close to the cesarean scar should raise suspicions of scar endometriosis. In addition, abdominal ultrasonography (USG), computed tomography (CT), magnetic resonance imaging (MRI), and fine-needle aspiration (FNA) biopsy can be helpful to differentiate from other conditions such as incisional hernias, suture granulomas, or malignant tumors. However, the final diagnosis and treatment is still the complete excision of the tumor. Therefore, additional studies on pathophysiology would help with new preventive methods and less invasive therapeutic options.

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“…Ectopic endometrial tissue is generally located in the pelvis, but can also be found in the lungs, intestine, ureters, brain, and abdominal wall [6]. Abdominal wall endometriosis (AWE) is any ectopic endometrium superficial to the peritoneum, the definition includes lesions that may or may not be related to previous surgical procedures.…”

Section: Introductionmentioning

confidence: 99%

“…The treatment of choice in the specific case of abdominal wall endometriosis is excision of the lesion with negative margins. This surgical method provides the best opportunity for diagnosis and definitive treatment [6,14].…”

Section: Introductionmentioning

confidence: 99%

Abdominal Wall Endometriosis: Purpose of a Case and Review of Literature

Oliva¹,

López²,

Molano³

2020

JGO

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Endometriosis of the abdominal wall is defined as the presence of superficial ectopic endometrial tissue to the parietal peritoneum, whose origin may be associated with previous gynecological surgical procedures. Its prevalence is low, around 0.03%, being the first isolated case in our institution, its report and bibliographic review was necessary. The following paper is a case report and a brief bibliographic literature review. Endometriosis is defined as the presence of endometrial glands and stroma outside the uterine cavity. The definition includes injuries that may or may not be related to previous surgical procedures. It is associated with cesarean section in 57% and hysterectomy in 17%. We present the case of a 37 years old female patient, with a history of three previous cesarean sections 3, 6 and 10 years ago; who presented a clinical picture of a sensation of a mass in the abdominal wall, accompanied by cyclical pain and mass growth related to menstrual periods. Abdominal ultrasound reported a heterogeneous vascularized 4x5cm mass. She underwent surgery at our institution where an endometrial mass was evidenced that infiltrated the rectus abdominis, later the diagnosis was confirmed with the histopathological study. Abdominal endometriosis is a rare entity in medical practice. A high index of suspicion should be considered in the case of a woman who presents with disabling abdominal pain located in the abdominal wall, with a history of previous gynecological surgical procedures. This pathology can be confused with many other surgical entities; for this reason, resorting to paraclinical studies can be essential in the diagnostic certainty.

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Abdominal wall endometriosis: experience of the General Surgery Service of the Antônio Pedro University Hospital of the Universidade Federal Fluminense

Cited by 8 publications

References 34 publications

Abdominal wall endometriosis: Report of 83 cases

Abdominal wall endometriosis: Report of 83 cases

Cesarean Section: A Potential and Forgotten Risk for Abdominal Wall Endometriosis

Abdominal Wall Endometriosis: Purpose of a Case and Review of Literature

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