Evaluation of Cases of Abdominal Wall Endometriosis at Universidade Estadual de Campinas in a period of 10 Years

Yela, Daniela Angerame; Trigo, L.; Benetti‐Pinto, Cristina Laguna

doi:10.1055/s-0037-1603965

Cited by 20 publications

(20 citation statements)

References 25 publications

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“…The mean age of the patients in this study was approximately 30 and all patients had a history of cesarean delivery, mostly once as found in 9 (47.4%) patients. These results are compatible with the information in the literature [8].…”

Section: Discussionsupporting

confidence: 93%

“…This excision prevents occurrence of potential malignant degeneration or recurrence. The postoperative recurrence is reported to be 1.5-9.1% in the literature; no recurrences were seen in our patients during their follow-up [8]. Owing to the surgical excision performed in all patients in our study, curative treatment was achieved and the definitive diagnosis of SE was made in a histopathological way.…”

Section: Discussionmentioning

confidence: 58%

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A Rare Cause of Abdominal Pain: Scar Endometriosis

Karapolat

Kucuk

2019

Emergency Medicine International

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Introduction. Scar endometriosis (SE) is a rare pathology that develops in the scar tissue formed on the anterior abdominal wall usually after a cesarean section. There have been instances of women presenting to emergency or general surgery clinics with abdominal pain due to SE. Materials and Methods. This study retrospectively reviews 19 patients who were operated on in our clinic between January 2010 and January 2017 with a prediagnosis of SE and were reported to have SE based on their pathology results. Results. The mean age of the patients was 30.8 years (range: 20-49 years). The body mass indexes of 12 (63.2%) patients were ≥ 25. All patients had a history of cesarean section and 9 (47.4%) patients had undergone cesarean section once. With the exception of one patient who had her SE localized in her inguinal region, all patients had a mass localized on their anterior abdominal wall neighboring the incision and complained about cyclic pain starting in their premenstrual periods. The complaints began 2 years after their cesarean section in 10 (52.6%) patients. Mostly abdominal ultrasonography was used for diagnostic purposes. The lesions were totally excised and the SE diagnosis was made through a histopathological examination in all patients. No postoperative complications or recurrences were seen in any of the patients. Conclusion. Suspicion of SE is essential in women of reproductive age who have a history of cesarean section and complaints of an anterior abdominal wall mass and a pain at the scar site that is associated with their menstrual cycle. An accurate and early diagnosis can be established in such patients through a careful history and a good physical examination and possible morbidities can be prevented with an appropriate surgical intervention.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 58%

A Rare Cause of Abdominal Pain: Scar Endometriosis

Karapolat

Kucuk

2019

Emergency Medicine International

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“…Surgery remains the mainstay of treatment, including disease recurrence. Yela et al stated that ultimate treatment is achieved through a total surgical removal of the mass together with at least 1 cm of surrounding healthy tissue, without impairing the integrity of the mass [8] . Other therapeutic options include pharmacologic therapy with hormonal suppression agents, such as progestogens or gonadotropin-releasing hormone (GnRH) analogs to downregulate the hypothalamus-pituitary-ovarian pathway.…”

Section: Discussionmentioning

confidence: 99%

Rare case of scar endometriosis

Shetty¹,

Anitha²

2021

Int. J. Clin. Obstet. Gynaecol.

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Endometriosis can sometimes occur in a previous surgical scar. The symptoms are nonspecific, typically involving abdominal wall pain at the incision site at the time of menstruation. A 31-year old woman with previous two caesarean section presents with cyclical abdominal pain and bleeding from the healed incision site. Examination revealed a well-healed caesarean scar, no mobile, firm, nodular, contender subcutaneous mass. Ultrasonography revealed a heterogeneous hypoechoic area with minimal internal vascularity. She was planned for scar excision after failed medical management. Intraoperatively, dense scar adhesions noted hence proceeded with total hysterectomy. Histopathological examination report confirmed the diagnosis of scar endometriosis. In conclusion, endometriosis is rare and difficult to diagnose. It should be suspected in woman of childbearing age with cyclic, painful nodule in a scar from a previous obstetric or gynecologic procedure, after excluding other differential diagnoses. Diagnosis is by imaging modalities and treatment of choice is usually surgical resection.

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“…The incidence rate of abdominal scar endometriosis is 0.03%–12%. Most patients with abdominal scar endometriosis had a history of obstetric or gynecologic procedure, and the main clinical manifestations were nodule pain and the sensation of a mass [ 7 , 15 ]. Thoracic endometriosis is rare and can be present with characteristics such as catamenial pneumothorax, haemothorax, haemoptysis and pulmonary nodules [ 16 , 17 ].…”

Section: Discussionmentioning

confidence: 99%

“…The most aberrant places are the ovaries, uterosacral ligaments, large ligaments and pelvic peritoneum. Gastrointestinal tract, lungs, pleura, urinary system, skin, abdominal scar and brain are rare [ 3 , [5] , [6] , [7] ]. Here, we report a case of rectal endometriosis localized at the rectum that was almost misdiagnosed and treated as rectal cancer.…”

Section: Introductionmentioning

confidence: 99%