Scar Endometriosis in the Abdominal Wall: a Predictable Condition for Experienced Surgeons

Abstract

If a patient presents with incision pain and a palpable mass after gynaecologic surgery, an incisional endometrioma should be considered. Surgical excision and hormone therapy are effective treatment approaches in these patients.

Scar endometriosis: A series of 3 cases

“…1,2 Its incidence in post-cesarean and posthysterotomy scar tissue is approximately 0.03-0.4% and 1.08-2% respectively. Post-hysterotomy incidence of endometriosis in scar is higher possibly due to pluripotential capabilities of early decidua.…”

Laparoscopic Trocar Port Site Endometriosis: A Case Report and Brief Literature Review

“…21 A trocar port site endometrioma might develop from the peritoneal seeding of cells because of pneumoperitoneum or from direct contact of the excised lesion with the port tract. 5,8 The abdominal wall is an uncommon site of extrapelvic (external) endometriosis, where it usually develops in old surgical scars. Endometriosis has been reported in many types of surgical scars, including the scars resulting from endoscopy, cesarean section, tubal ligation, hysterectomy, inguinal hernia repair, laparotomy, and the needle tract of third trimester diagnostic amniocentesis.…”

“…5,20,21 Direct transplantation is probably the mechanism responsible for the development of a scar endometrioma following a caesarian delivery, hysterectomy, appendectomy, laparoscopic trocar tract, or episiotomy. 21 A trocar port site endometrioma might develop from the peritoneal seeding of cells because of pneumoperitoneum or from direct contact of the excised lesion with the port tract.…”

“…External endometriosis is commonly found in the pelvic genital organs (ovaries, cul-de-sac, and fallopian tubes) and other parts of the body. 5,19,20 Endometriosis can also be classified as pelvic or extrapelvic according to its location. Pelvic endometriosis includes lesions of the fallopian tubes, ovaries, and pelvic peritoneum.…”

“…[5][6][7][8][9][10][11][12][13][14][15][16][17][18] This study presents the case of a patient with endometriotic trocar site metastasis who had previously undergone laparoscopic resection of a left ovarian endometriotic cyst.…”