Risk Factors, Clinical Presentation, and Outcomes for Abdominal Wall Endometriosis

Khan, Zaraq; Zanfagnin, Valentina; El-Nashar, Sherif A.; Famuyide, Abimbola O.; Daftary, Gaurang S.; Hopkins, Matthew R.

doi:10.1016/j.jmig.2017.01.005

Cited by 72 publications

(84 citation statements)

References 13 publications

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“…In a recent study of a series of 34 patients with histologically proved AWE after cesarean delivery, Khan et al noted a higher BMI in women with abdominal wall endometriosis compared with controls. They hypothesized that suboptimal closure of either the uterine incision or the pelvic and abdominal layers due to the surgical difficulties encountered in obese patients may explain and support the implantation theory [17]. Sumathy et al consider that the popularisation of single-layer closure of the uterus and nonclosure of parietal and visceral peritoneum could be risk factors [18].…”

Section: Risk Factorsmentioning

confidence: 99%

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

et al. 2017

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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.

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Section: Risk Factorsmentioning

confidence: 99%

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

et al. 2017

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“…In recent years there has been an increase in KDE due to the increased number of cesarean deliveries [3]. There are many theories about the pathogenesis of cutaneous endometriosis, including metaplasia, venous / lymphatic metastasis and iatrogenic implantation of endometrial tissue [2,10].…”

Section: Discussionmentioning

confidence: 99%

“…This disease is seen in at least 10% of reproductive age women. [3]. The most common site of localization is the ovary, uterine ligament and peritoneum [4].…”

Section: Introductionmentioning

confidence: 99%

“…The most common site of localization is the ovary, uterine ligament and peritoneum [4]. When it is located in the peritoneum (as well as in the skin, subcutaneous tissue, abdominal and pelvic wall muscles) and in the abdominal surgery scars, it is called "abdominal wall endometriosis (AWE)" [3]. Abdominal wall endometriosis is a very rare condition and seen in 1% of affected patients.…”

Section: Introductionmentioning

confidence: 99%

“…Clinical diagnosis may be difficult, however, due to its rare and inconsistent appearance [10]. This rare form of endometriosis can be misdiagnosed as hernias, hematomas, lipomas, dermoids, abscesses, keloids, hypertrophic scars [3,7]. Histological examination also reveals that various metaplastic variants in the glandular and stromal epithelium in could be challenging to diagnose AWE [2,11].…”

Section: Introductionmentioning

confidence: 99%

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Histological features in abdominal wall endometriosis

Çabuk¹,

Aktepe²,

Kusku³

et al. 2018

Med-Science

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Endometriosis is localization of endometrial tissue out of endometrium and myometrium. Location on peritoneum and scar tissue associated with abdominal incision called as abdominal wall endometriosis (AWE). Abdominal wall endometriosis is a rare lesion affection under 1% of effected patients. However, due to increase in laparoscopy, hysterectomy and cesarean section procedurs, the AWE cases are increasing. In this study we aim to analyse AWE rates and evaluate their histologic properties. Endometriosis cases between 2010-2015 were included in study. These cases were evaluated according to localization and out of these 23 cases were revealed as AWE, and in 15 of 23 cases histologic specimens can reach. 317 cases with endometriosis were revealed and 23 (7.2%) were identified as AWE. The mean age was 35±5 (29-45). In 11 (47.8%) cases AWE was developed on scar tissue which have a history of cesarean section procedurs in a mean 3.4 year before. In 10 (66%) cases tubal (ciliary) metaplasia, in 3 (20%) cases hobnail metaplasia and in one case (7%) atypia and mitosis were observed as glandular changes. In 11 (73%) cases myxoid changes, 3 (20%) signet ring-like cells-like changes, 2 (13%) atypical myocytes with giant cells, in one (7%) case thick walled vessels resemble spiral arteries of endometrium and in one case (7%) decidual changes were observed as stromal changes. In this study we highlight the high prevalence of AWE compare to literature. Besides, the wide spectrum of stromal and glandular metaplastic changes could be challenging in proper diagnosis. AWE should keep in mind in the differential diagnosis of lesions in this localization.

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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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Risk Factors, Clinical Presentation, and Outcomes for Abdominal Wall Endometriosis

Cited by 72 publications

References 13 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

Histological features in abdominal wall endometriosis

Abdominal wall endometriosis: Report of 83 cases

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