Endometriosis of the rectus abdominis muscles: a rare case of dual location

Slaiki, Saad; Jamor, Jihad

doi:10.1093/jscr/rjaa360

Cited by 10 publications

(22 citation statements)

References 8 publications

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“…Endometriosis is defined as functional endometrial glands with stroma outside the uterus, which is estimated to affect almost 10% of the reproductive age groups (15–49 years [ 1 ]. It usually occurs around the uterus and uterine ligaments; however, extra pelvic sites, though rare, occur in the lungs, brain, urinary tracts, abdominal wall, spleen, gastrointestinal tracts, and previous surgical scars such as a previous cesarean scar, episiotomy scar, ectopic pregnancies, hysterectomy, salpingostomy, or herniorrhaphy [ 2 , 3 ]. The presence of endometrial glands with stroma above the peritoneum (skin, subcutaneous tissue, muscle, scar) is collectively known as abdominal wall endometriosis [ 2 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

Scar Endometriosis: A Rare Cause of Abdominal Pain

et al. 2022

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Scar endometriosis or incisional endometriosis is the presence of endometrial tissues with glands in the previous incision or scar. Its overall estimated incidence after post-cesarean and post-hysterectomy is 0.03–0.4% and 1.08–2%, respectively. The patient presents with non-specific symptoms such as cyclical abdominal pain at the site of a previous surgical incision and scar and an abdominal lump with a cyclical increment in size, which is tender. The diagnosis is made only after the surgical excision with confirmation by histopathological analysis. We present the case of a 31-year-old female complaining of cyclical abdominal pain and a lump on the right side of a Pfannenstiel incision for five months. She had undergone two Lower Segment Caesarean Sections (LSCSs); the last surgery was eight months prior. Surgical excision was planned with the corresponding clinical features and radiological data. After the surgical excision, the sample was sent for histopathological examination, and scar endometriosis was diagnosed.

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Section: Introductionmentioning

confidence: 99%

Scar Endometriosis: A Rare Cause of Abdominal Pain

et al. 2022

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“…MRI is beneficial to assess the depth of extension of endometrioma. (4) The sensitivity and specificity of MRI is 90% and 98% respectively for the diagnosis of endometrioma [5] . Medical treatment can be used in cases with big masses, to reduce the size of the mass [4] .…”

Section: Discussionmentioning

confidence: 99%

“…(4) The sensitivity and specificity of MRI is 90% and 98% respectively for the diagnosis of endometrioma [5] . Medical treatment can be used in cases with big masses, to reduce the size of the mass [4] . The treatment of choice for rectus muscle endometriosis is wide excision of the lesion with negative margins.…”

Section: Discussionmentioning

confidence: 99%

“…The surgical margin should include 5-10 mm of the surrounding healthy tissue and care should be taken while removing mass, as there are chances of reimplantation of microscopic remnants of endometrial tissue if mass is ruptured [3] . Thorough washing of the abdominal cavity at the end of intervention (either laparotomy or laparoscopy) helps in preventing recurrence [4] .…”

Section: Discussionmentioning

confidence: 99%

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A rare case report on rectus muscle endometriosis

Sanju¹,

Rajeswari²,

Praveen³

2021

Int. J. Clin. Obstet. Gynaecol.

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Background: Rectus muscle endometriosis is a rare entity. Though it occurs after previous surgeries, it can also occur in patients without scar. A differential diagnosis of extra-pelvic endometriosis must be kept in mind when women of reproductive age presents with mass abdomen which becomes painful during menstruation. CT/MRI can detect lesions and surgical excision remains the definitive treatment. Case report: We present a case of a 30 year old, P2L2A1, with previous normal deliveries who presented with swelling over left iliac fossa which was painful during menstruation. CECT done showed endometriosis over rectus muscle. She underwent excision of the mass, which showed features of endometriosis in histopathology. She was on followed up for 2 years with no features of recurrence.

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“…15 The medical treatment can be used as an induction treatment aiming to reduce the size of the endometrioma and reduction in the parietal defect resulting from the surgical excision. 16 The treatment of the choice for the AWE is wide resection of the lesion including 5-10mm of the surrounding healthy tissue to ensure complete surgical resection with negative margins. Careful resection is needed to prevent rupture of the mass to avoid reimplantation of microscopic remnants of endometrial tissue.…”

Section: Discussionmentioning

confidence: 99%

A Case Report of an Abdominal Wall Endometrioma

Najam¹,

Bounnah²

2021

Int J Health Sci Res

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Abdominal wall endometrioma (AWE) is one of the rarest forms of the endometriosis, and usually found in the young patients, average age is 35years. The most common triad of the symptoms is, abdominal mass at or near the scar, cyclical pain and history of previous caesarean or any other gynecological surgery. Exact pathogenesis is unknown as average time of its presentation in the patients is highly variable from 3 months till 2 decades. It can be suspected on ultrasonography and CT scan and MRI are the modalities used to assess and stage the lesion prior to the surgery. Histopathological diagnosis is confirmatory. We are reporting 30 years old, Para 2, with history of first caesarean section 6 years ago followed by the normal delivery. She presented with the history of cyclical abdominal pain with the feeling of abdominal lump from last 3 months. On examination a slightly tender 5*4 cm extra abdominal mass was palpable above the right half of the previous transverse scar of the caesarean. After evaluation endometriosis was suspected and the patient opted for the surgical resection of the mass. The mass was removed in collaboration with the surgeons and the histopathology confirmed the diagnosis of the AWE. Conclusion: AWE is a dynamic yet incompletely known entity as a result of increasing number of the caesarean and gynecological procedures. It should be kept in the differential diagnosis of the patients coming with the cyclical abdominal pain and abdominal lump with the history of previous uterine surgery. Ultrasound and MRI are the main aiding modalities but the confirmation of the diagnosis is made only after histopathology. The surgical removal of the mass with negative margins represents the current best treatment. Key words: Abdominal wall, endometriosis, magnetic resonance imaging, ultrasonography.

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Endometriosis of the rectus abdominis muscles: a rare case of dual location

Cited by 10 publications

References 8 publications

Scar Endometriosis: A Rare Cause of Abdominal Pain

Scar Endometriosis: A Rare Cause of Abdominal Pain

A rare case report on rectus muscle endometriosis

A Case Report of an Abdominal Wall Endometrioma

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