Surgical scar endometriosis

Mistrangelo, Massimiliano; Gilbo, Nicholas; Cassoni, Paola; Micalef, Salvatore; Faletti, Riccardo; Miglietta, C; Brustia, Raffaele; Bonnet, Gisella; Gregori, Gabriella; Morino, Mario

doi:10.1007/s00595-012-0459-3

Cited by 49 publications

(55 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The iatrogenic direct implantation theory is also supported by a case reported by Mistrangelo et al [7]. His patient surgical history was significant for C-section for obstetric indication however; she was referred due to the presence of tender palpable abdominal mass at the site of the previous surgical scar.…”

Section: Discussionmentioning

confidence: 64%

See 1 more Smart Citation

Case Report of Recurrent Abdominal Wall Endometrioma at the Same Location after Nine Years of Its First Excision

2017

JFIV Reprod Med Genet

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 64%

“…The latter is present in 81% of the cases [2]. In addition, the incidence of AWE after C-section is estimated between 0,03 and 1,08% [4][5][6][7][8][9].…”

Section: Discussionmentioning

confidence: 99%

Case Report of Recurrent Abdominal Wall Endometrioma at the Same Location after Nine Years of Its First Excision

2017

JFIV Reprod Med Genet

View full text Add to dashboard Cite

“…Excision with histologically proven free surgical margins of 1 cm is mandatory to prevent recurrence. To exclude the intraperitoneal spread of the disease in symptomatic patients, some authors recommend explorative laparoscopy 2,[20][21][22] . Abdominal wall endometriosis is a rare condition related to prior pelvic surgery.…”

Section: Discussionmentioning

confidence: 99%

Abdominal Wall Endometriosis Eleven Years After Cesarean Section: Case Report

Djaković

Vuković

Bolanča

et al. 2017

acc

View full text Add to dashboard Cite

SUMMARY -Endometriosis is a common chronic disease characterized by growth of the endometrial gland and stroma outside the uterus. Symptoms aff ect physical, mental and social well-being. Extrapelvic location of endometriosis is very rare. Abdominal wall endometriosis occurs in 0.03%-2% of women with a previous cesarean section or other abdominopelvic operation. Th e leading symptoms are abdominal nodular mass, pain and cyclic symptomatology. Th e number of cesarean sections is increasing and so is the incidence of abdominal wall endometriosis as a potential complication of the procedure. Th ere are cases of malignant transformation of abdominal wall endometriosis. Th erefore, it is important to recognize this condition and treat it surgically. We report a case of a 37-year-old woman with abdominal wall endometriosis 11 years after cesarean section. She had low abdominal pain related to menstrual cycle, which intensifi ed at the end of menstrual bleeding. A nodule painful to palpation was found in the medial part of previous Pfannenstiel incision. Ultrasound guided biopsy was performed and the diagnosis of endometriosis confi rmed. Surgery is the treatment of choice for abdominal wall endometriosis. Excision with histologically proven free surgical margins of 1 cm is mandatory to prevent recurrence. A wide spectrum of mimicking conditions is the main reason for late diagnosis and treatment of abdominal wall endometriosis. In our case, the symptoms lasted for eight years and had intensifi ed in the last six months prior to surgery.

show abstract

“…The recurrence can be prevented by excising the lesion along with histologically proven, surgical-free margin of 1 cm. 16 As SE may be associated with pelvic localization, diagnostic laparoscopy may be indicated to exclude the intraperitoneal spread of the disease in symptomatic patients. We followed up all three cases and found surgical treatment to be effective with no relapse or recurrence of symptoms.…”

Section: Discussionmentioning

confidence: 99%