5-Year data analysis of patients following abdominal wall endometrioma surgery

Khamechian, Tahere; Alizargar, Javad; Mazoochi, Tahere

doi:10.1186/s12905-014-0151-4

Cited by 34 publications

(48 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The majority of AWE reported has been described as being adjacent to cesarean-delivery scars [12][13][14][15]. In evaluating the obstetric history of 81 patients with endometrioma, Wicherek et al stated that cesarean delivery performed before spontaneous onset of labor may substantially increase the risk of occurrence of scar endometriomas [16].…”

Section: Risk Factorsmentioning

confidence: 99%

Abdominal wall endometriosis: an update in clinical, imagistic features, and management options

et al. 2017

View full text Add to dashboard Cite

Abdominal wall endometriosis (AWE) is a rare condition defined by the presence of endometrial tissue in the subcutaneous fatty layer and the muscles of the abdominal wall. It is usually caused by the dissemination of endometrial tissue in the wound at the time of obstetrical and gynecological surgeries. AWE is rare and difficult to diagnose. The most frequent clinical presentation is that of a palpable subcutaneous mass near surgical scars associated with cyclic pain and swelling during menses. AWE may be an underreported pathology partly because it has scarcely received attention in the radiologic literature. Its frequency is expected to rise along with the increasing rate of cesarean deliveries; thus, it is important that physicians or sonographers are familiar with this pathology. The purpose of our review is to present the latest data regarding risk factors, clinical and imagisticfindings, and management of AWE.

show abstract

Section: Risk Factorsmentioning

confidence: 99%

Abdominal wall endometriosis: an update in clinical, imagistic features, and management options

et al. 2017

View full text Add to dashboard Cite

show abstract

“…The clinical palpation of an abdominal swelling proves to be a reliable diagnostic sign, being previously evident in all cases of AWE, as in our case. The prevalence of AWE, developing after caesarean section is higher, reaching 0.07-0.47% [16] . A differential diagnosis should always be considered: incisional hernia, desmoid tumour, suture granuloma, lipoma, and hematoma, primary or secondary malignancy.…”

Section: Discussionmentioning

confidence: 99%

Abdominal Wall Endometriosis: Myofibroblasts as a Possible Evidence of Metaplasia: A Case Report

Ibrahim

Delarue

Abesadze

et al. 2016

Gynecol Obstet Invest

View full text Add to dashboard Cite

In this study, we report about a patient with extra-uterine endometriosis (EM) in the abdominal wall muscle with evident metaplasia based on the abundant alpha smooth muscle actin (ASMA)-expressing myofibroblasts. Laparotomy excision of the abdominal wall EM was done following ultrasonographic evidence of a hypodense swelling in the right rectus abdominis, which was confirmed by MRI. Immunohistochemistry staining for ASMA and collagen I was done, with the results confirming that endometriotic stromal cells expressed both. Anterior abdominal wall endometriosis was suspected because of the patient's history of recurrent EM combined with the cyclic nature of symptoms. MRI is useful in determining the extent of the disease. In case of persisting symptoms even under hormonal treatment, surgical excision is mandatory. The expression of both ASMA and collagen I in and around EM lesions supports the notion of the metaplastic process in the course of disease development.

show abstract

“…Scar endometrioma must be dissected free from the surrounding tissue and excised with clear margins [2]. It is also important to take care against intraoperative auto-inoculation of endometrial tissue in order to prevent recurrences [15].…”

Section: Discussionmentioning

confidence: 99%

“…The abdominal wall is the commonest site of extrapelvic endometrioma, which develops in association with a prior abdominal scar, mainly affecting 0.1% -0.2% of women after caesarean section or less frequently after other surgical procedures, such as amniocentesis, laparoscopy, hysterectomy, abdominoplasty, and so on [2] [3] [4] [5]. Women affected generally do not refer prior history of endometriosis.…”

Section: Discussionmentioning

confidence: 99%

Endometrioma of the Abdominal Wall after Caesarean Section

Carriero¹,

Dellino²,

Capursi³

et al. 2017

OJOG

View full text Add to dashboard Cite

Background: Endometrial cell implantation after abdominal surgery, mainly after caesarean section, may result in formation of endometrioma, which is usually described to be of various sizes, and adjacent to the surgical scar. Case: A 36-year old woman complaining of a mass of the abdominal wall with pain during the menstrual period, with a caesarean section 5 years earlier, presented a rounded tumour not contiguous to the Pfannenstiel's laparotomy scar, of hard consistence, fixed and adherent to the deep abdominal wall structures, located on the left paramedian epigastric region. Magnetic Resonance imaging showed the nodule, involving the deep layers of the abdominal wall and the distance from the laparotomic scar. Surgical removal was performed with wide excision of the lesion, causing a large wall defect. After histological confirmation (endometriosis) by frozen section, reconstruction of the abdominal wall required prolene mesh grafting. After twelve months the patient is healthy. Conclusion: When abdominal wall endometrioma is located distant from the scar, perhaps more frequently after Pfannenstiel's laparotomic incision, the differential diagnosis may be more difficult and MRI can help differentiating many of these lesions, and histological confirmation should be obtained intraoperatively, by frozen section, to allow an oncological resection if required.

show abstract

5-Year data analysis of patients following abdominal wall endometrioma surgery

Cited by 34 publications

References 19 publications

Abdominal wall endometriosis: an update in clinical, imagistic features, and management options

Abdominal wall endometriosis: an update in clinical, imagistic features, and management options

Abdominal Wall Endometriosis: Myofibroblasts as a Possible Evidence of Metaplasia: A Case Report

Endometrioma of the Abdominal Wall after Caesarean Section

Contact Info

Product

Resources

About