Abdominal wall endometriosis : Report of 83 cases
© 2022 The Authors. International Journal of Gynecology & Obstetrics published by John Wiley & Sons Ltd on behalf of International Federation of Gynecology and Obstetrics..
OBJECTIVE: To investigate the clinical course and management of abdominal wall endometriosis (AWE).
METHODS: A retrospective study was carried out from January 2010 to December 2020, at Vita-Nações Hospitals, Curitiba, Brazil, in order to evaluate data of patients undergoing surgery for the excision of AWE.
RESULTS: 83 women with AWE were included in the study. Umbilical scar endometriosis was found in 26 patients (31.3%), being primary in 20 cases (76.9%) and secondary to a laparoscopic procedure in 6 cases (23.1%). 2 patients had secondary implants outside the umbilicus after laparoscopic surgery. Secondary implant after cesarian section in 55 patients (66.3%). Diagnosis was made by ultrasound in 65 patients (78.3%) and by MRI in the remaining 18 (21.7%). Complete excision of the nodule was carried out and no case of recurrence was registered up to now.
CONCLUSIONS: Painful abdominal mass presenting in women, especially with a previous history of abdominal and pelvic surgery, should be suspected of AWE. It occurs most often secondary to obstetric or gynecological surgeries and seems to be related to iatrogenic transfer of the endometrial tissue at the level of the surgical scar. Cesarean scar endometriosis is the most common presentation. Surgical excision including the surrounding fibrotic tissue should be performed.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:159 |
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| Enthalten in: |
International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics - 159(2022), 2 vom: 05. Nov., Seite 530-536 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Benedetto, Chiara [VerfasserIn] |
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| Links: |
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| Themen: |
Abdominal wall |
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| Anmerkungen: |
Date Completed 11.10.2022 Date Revised 11.10.2022 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1002/ijgo.14167 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM337779163 |
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| 245 | 1 | 0 | |a Abdominal wall endometriosis |b Report of 83 cases |
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| 500 | |a Date Revised 11.10.2022 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2022 The Authors. International Journal of Gynecology & Obstetrics published by John Wiley & Sons Ltd on behalf of International Federation of Gynecology and Obstetrics. | ||
| 520 | |a OBJECTIVE: To investigate the clinical course and management of abdominal wall endometriosis (AWE) | ||
| 520 | |a METHODS: A retrospective study was carried out from January 2010 to December 2020, at Vita-Nações Hospitals, Curitiba, Brazil, in order to evaluate data of patients undergoing surgery for the excision of AWE | ||
| 520 | |a RESULTS: 83 women with AWE were included in the study. Umbilical scar endometriosis was found in 26 patients (31.3%), being primary in 20 cases (76.9%) and secondary to a laparoscopic procedure in 6 cases (23.1%). 2 patients had secondary implants outside the umbilicus after laparoscopic surgery. Secondary implant after cesarian section in 55 patients (66.3%). Diagnosis was made by ultrasound in 65 patients (78.3%) and by MRI in the remaining 18 (21.7%). Complete excision of the nodule was carried out and no case of recurrence was registered up to now | ||
| 520 | |a CONCLUSIONS: Painful abdominal mass presenting in women, especially with a previous history of abdominal and pelvic surgery, should be suspected of AWE. It occurs most often secondary to obstetric or gynecological surgeries and seems to be related to iatrogenic transfer of the endometrial tissue at the level of the surgical scar. Cesarean scar endometriosis is the most common presentation. Surgical excision including the surrounding fibrotic tissue should be performed | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a abdominal wall | |
| 650 | 4 | |a abdominal wall endometriosis | |
| 650 | 4 | |a cesarean section | |
| 650 | 4 | |a parietal repair | |
| 650 | 4 | |a scar endometriosis | |
| 700 | 1 | |a Cacozza, Daniel |e verfasserin |4 aut | |
| 700 | 1 | |a de Sousa Costa, Daniela |e verfasserin |4 aut | |
| 700 | 1 | |a Coloma Cruz, Arantxa |e verfasserin |4 aut | |
| 700 | 1 | |a Tessmann Zomer, Monica |e verfasserin |4 aut | |
| 700 | 1 | |a Cosma, Stefano |e verfasserin |4 aut | |
| 700 | 1 | |a Trippia, Carlos Henrique |e verfasserin |4 aut | |
| 700 | 1 | |a Santos Cavalcanti, Teresa Cristina |e verfasserin |4 aut | |
| 700 | 1 | |a Alves Castro, Gustavo Rodrigues |e verfasserin |4 aut | |
| 700 | 1 | |a Kondo, William |e verfasserin |4 aut | |
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