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

Purpose To determine the clinical and epidemiological characteristics of abdominal wall endometriosis (AWE), as well as the rate and recurrence factors for the disease. Methods A retrospective study of 52 women with AWE was performed at Universidade Estadual de Campinas from 2004 to 2014. Of the 231 surgeries performed for the diagnosis of endometriosis, 52 women were found to have abdominal wall endometriosis (AWE). The frequencies, means and standard deviations of the clinical characteristics of these women were calculated, as well as the recurrence rate of AWE. To determine the risk factors for disease recurrence, Fisher's exact test was used. Results The mean age of the patients was 30.71 ± 5.91 years. The main clinical manifestations were pain (98%) and sensation of a mass (36.5%). We observed that 94% of these women had undergone at least 1 cesarean section, and 73% had used medication for the postoperative control of endometriosis. The lesion was most commonly located in the cesarean section scar (65%). The recurrence rate of the disease was of 26.9%. All 14 women who had relapsed had surgical margins compromised in the previous surgery. There was no correlation between recurrent AWE and a previous cesarean section (p = 0.18), previous laparotomy (p = 0.11), previous laparoscopy (p = 0.12) and postoperative hormone therapy (p = 0.51). Conclusion Women with previous cesarean sections with local pain or lumps should be investigated for AWE. The recurrence of AWE is high, especially when the first surgery is not appropriate and leaves compromised surgical margins.

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Abdominal wall endometriosis: experience of the General Surgery Service of the Antônio Pedro University Hospital of the Universidade Federal Fluminense

Revista do Colégio Brasileiro de Cirurgiões ◽

10.1590/0100-6991e-20202544 ◽

2020 ◽

Vol 47 ◽

Author(s):

JORGE EDUARDO FARIA ROCHA COSTA ◽

ITALO ACCETTA ◽

FRANCISCO JOSÉ SANTOS MAIA ◽

RENATO AUGUSTO MOREIRA DE SÁ

Keyword(s):

Cesarean Section ◽

Abdominal Surgery ◽

Abdominal Wall ◽

General Surgery ◽

Previous History ◽

Reproductive Age ◽

University Hospital ◽

Significance Level ◽

Abdominal Wall Endometriosis ◽

Previous Cesarean

ABSTRACT Objective: to study the characteristics of women undergoing abdominal surgery with suspected abdominal wall endometriosis or abdominal wall tumor, and to assess the association with age, race and previous cesarean delivery. Method: retrospective and analytical study carried out from January 2000 to December 2019, at the General Surgery Service of Hospital Universitário Antônio Pedro (HUAP) at Universidade Federal Fluminense (UFF). Medical records of 100 patients with abdominal wall endometriosis and other types of abdominal wall tumors were analyzed. Age, color, previous history of cesarean section or abdominal surgery and histopathological data were verified. The patients were classified as young adults (aged between 18 and 28 years and 11 months) and adults. The SPSS program was used for data analysis, Fisher’s test with a significance level of 0.05. Results: abdominal wall endometriosis with histopathological confirmation was found in 22%, the mean age was 52.28 ± 18.66 which was lower when compared to other diagnoses. There was an association between previous cesarean section and abdominal wall endometriosis (p <0.005). Conclusion: the women with a diagnosis of abdominal wall endometriosis had undergone previous cesareans (the majority) and were in an active reproductive age. Although the brown skin women were the most frequent, there was no statistical difference.

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Endometriosis of Rectus Muscle Excised During Cesarean Section: A Case Report and Literature Review

Gynecology Obstetrics and Reproductive Medicine ◽

10.21613/gorm.2016.489 ◽

2016 ◽

Author(s):

Recep Erin ◽

Kübra Baki Erin ◽

Derya Burkankulu Ağırbaş ◽

Burcu Kemal Okatan

Keyword(s):

Case Report ◽

Pregnant Woman ◽

Literature Review ◽

Cesarean Section ◽

Abdominal Wall ◽

Rectus Muscle ◽

Surgical Excision ◽

Treatment Method ◽

Abdominal Wall Endometriosis ◽

Subcutaneous Mass

We aimed to present a case with abdominal wall endometriosis following cesarean section in this case report. A 32 year old 39 weeks pregnant woman with G2P1 was admitted to gynaecology clinic with abdominal lump and pain in the midline. Her physical examination included a hard and painful palpable subcutaneous mass of 4x5 cm size in the midline of the abdomen which was semisolid and irreducible. Under general anesthesia, the mass on the rectus muscle was excised with the healthy tissue around with the diagnosis of endometriosis during cesarean section and the pathological diagnosis was reported as endometriosis. Surgical excision is the best treatment method in abdominal wall endometriosis.

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Abdominal Wall Endometriosis: Clinical Presentation And Imaging Features with Emphasis on Sonography

Bangladesh Journal of Obstetrics & Gynaecology ◽

10.3329/bjog.v29i1.30436 ◽

2016 ◽

Vol 29 (1) ◽

pp. 3-8

Author(s):

Quorrata Eynul Forhad ◽

Ali Akbar Biswas ◽

Sk Monirul Islam ◽

Md Shah Alam

Keyword(s):

Cesarean Section ◽

Abdominal Wall ◽

Power Doppler ◽

Clinical Findings ◽

Imaging Features ◽

Palpable Mass ◽

Scar Endometriosis ◽

Abdominal Wall Endometriosis ◽

Cystic Changes ◽

Pathological Material

Objective(s): The purpose of our study was to evaluate clinical findings and sonographic features of abdominal wall endometriosis and also to report its CT and MRI appearance.Materials and methods: A retrospective study was performed from January 2008 - December 2012, yielding 12 surgically proven cases of abdominal wall endometriosis. All patients had undergone sonography including power Doppler examination. Additional CT was performed in one case and MRI in four. Pathological material was preoperatively obtained by sonographically guided puncture in six patients. The clinical data were analyzed and the imaging studies were reviewed by radiologist working in consensus.Results: All patients had a history of at least one prior cesarean section. All patients C/S was done in this institution and 1500 C/S were performed within a period of 5 years giving a frequency of 0.8% scar endometriosis after C/S. All presented with focal pain near the surgical scar, which was cyclic in three patients. Nine patients presented with a palpable mass near the scar. Sonography detected 11 lesions within the abdominal wall with a mean diameter 25mm and in one case sonography could not identify any lesion. All lesions were hypoechoic, vascular, and solid, with some cystic changes in one. MRI CT scan showed enhancement of the lesions. Finally histopathologically all were proved as endometriosis.Conclusion: Abdominal wall endometriosis frequently presents with noncyclic symptoms. Imaging findings of a solid mass near a cesarean section scar strongly suggest its diagnosis.Bangladesh J Obstet Gynaecol, 2014; Vol. 29(1) : 3-8

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