Extrapelvic endometriosis in abdominal wall scar and PPAR gamma expression: A case report

Although it is uncommon, extrapelvic endometriosis can form a discrete mass known as an abdominal wall endometrioma. The incidence of abdominal wall endometriomas has been estimated to be 0.03% to 0.15% of all cases of endometriosis. We report a case of scar endometriosis in Pfannesteil scar in a 31 year old woman, who presented six years following an emergency Caesarean Section, complaining of some lumps on her incision scar. The patient underwent laparotomy followed by the excision of five endometriotic nodules.

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Abdominal Wall Endometrioma: A Diagnostic Enigma—A Case Report and Review of the Literature

Case Reports in Obstetrics and Gynecology ◽

10.1155/2019/6831545 ◽

2019 ◽

Vol 2019 ◽

pp. 1-4

Author(s):

Ketan Vagholkar ◽

Suvarna Vagholkar

Keyword(s):

Case Report ◽

Abdominal Wall ◽

Clinical Evaluation ◽

Wide Local Excision ◽

Rare Condition ◽

Review Of The Literature ◽

Diagnostic Dilemma ◽

Adequate Treatment ◽

Extrapelvic Endometriosis ◽

Prompt Diagnosis

Background. Abdominal wall endometriomas are quite uncommon. They are usually misdiagnosed by both the surgeon and the gynaecologist. Awareness of the details of this rare condition is therefore essential for prompt diagnosis and adequate treatment. Introduction. Endometriosis though a condition commonly seen in the pelvic region can also occur at extrapelvic sites giving rise to a diagnostic dilemma. Abdominal wall endometrioma is one such complex variant of extrapelvic endometriosis with an incidence of less than 2% following gynaecologic operations. Case Report. A case of abdominal wall endometrioma diagnosed clinically and treated by wide surgical resection is presented to highlight the importance of clinical evaluation in the diagnosis of this condition. Discussion. The etiopathogenesis, presentation, investigations, and management are discussed briefly. Conclusion. Clinical evaluation confirmed by supportive imaging is diagnostic. Wide local excision is the mainstay of treatment.

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Excision of Abdominal Wall Endometrioma During Caesarian Section Case Report

ARS Medica Tomitana ◽

10.2478/arsm-2019-0036 ◽

2019 ◽

Vol 25 (4) ◽

pp. 185-188

Author(s):

Steriu Liliana ◽

Iordache Ionut Eduard ◽

Baltatescu Gabriela ◽

Mocanu Diana

Keyword(s):

Case Report ◽

Abdominal Wall ◽

Caesarian Section ◽

Reproductive Age ◽

Surgical Scar ◽

Uterine Contractions ◽

Extrapelvic Endometriosis

Abstract Endometriosis is a frequent disease in women at reproductive age and is defined as functional endometrium located other place than uterus. The abdominal wall is an uncommon site of extrapelvic endometriosis. It usually occurs in a previous surgical scar. We present a case of a 31 years old, gravida, secundipara who was admitted with painful uterine contractions and abdominal wall endometrioma. During the caesarian section we also practice the excision of endometrioma.

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