{"paper_id":"261810d4-7216-45b0-b4cf-3cf5f92c14a6","body_text":"Abstract\nSubcutaneous endometriomas are cystic lesions that are rarely described. During the course of abdominoplasty surgery, a “surprise” encounter with a cyst containing brown material brought up the possibility that an atypical incarcerated hernia was entered. Dissection revealed no connection between the cyst and the rectus fascia and subsequent pathologic evaluation revealed an endometrioma. This report describes the unusual encounter with a painless endometrioma during abdominoplasty.\nLevel of Evidence V\nThis journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.\nReferences\nCaulfield RH, Maleki-Tabrizi A, Khan F, Ramakrishnan V (2009) A large encapsulated seroma presenting as a mass 5 years post paraumbilical hernia repair. J Plast Reconstr Aesthet Surg 62(1):105–107\nRobertson JD, de la Torre JI, Gardner PM, Grant JH 3rd, Fix RJ, Vásconez LO (2003) Abdominoplasty repair for abdominal wall hernias. Ann Plast Surg 51(1):10–16\nWheeler JM (1989) Epidemiology of endometriosis-associated infertility. J Reprod Med 34(1):41–46\nTamiolakis D, Antoniou C, Mygdakos N et al (2008) Endometriosis involving the rectus abdominis muscle and subcutaneous tissues: fine needle aspiration appearances. Chirurgia (Bucur) 103(5):587–590\nA Hodnett P, McSweeney SE, Bogue C, Kelly D, Redmond HP, Maher MM (2009) Subcutaneous endometrial deposit: an unusual cause of right iliac fossa pain. Br J Hosp Med (Lond) 70(3):170–171\nGajjar KB, Mahendru AA, Khaled MA (2008) Caesarean scar endometriosis presenting as an acute abdomen: a case report and review of literature. Arch Gynecol Obstet 277(2):167–169\nMarinis A, Vassiliou J, Kannas D et al (2006) Endometriosis mimicking soft tissue tumors: diagnosis and treatment. Eur J Gynaecol Oncol 27(2):168–170\nPathan SK, Kapila K, Haji BE et al (2005) Cytomorphological spectrum in scar endometriosis: a study of eight cases. Cytopathology 16(2):94–99\nFrancica G, Giardiello C, Angelone G, Cristiano S, Finelli R, Tramontano G (2003) Abdominal wall endometriomas near cesarean delivery scars: sonographic and color Doppler findings in a series of 12 patients. J Ultrasound Med 22(10):1041–1047\nApplebaum GD, Iwanczyk L, Balingit PB (2004) Endometrioma of the abdominal wall masquerading as hernia. Am J Emerg Med 22(7):621–622\nBlanco RG, Parithivel VS, Shah AK, Gumbs MA, Schein M, Gerst PH (2003) Abdominal wall endometriomas. Am J Surg 185(6):596–598\nZhao R, Wang XJ, Song KX, Zhu L, Li B (2012) Mini-abdominoplasty combined with mesh used for abdominal wall endometriosis. Chin Med J (Engl) 125(9):1614–1617\nOstric SA, Martin WJ, Kouris GJ (2006) Abdominal wall endometrioma found during abdominoplasty. Aesthet Plast Surg 30(2):249–250\nRosenstein BD, Wilson FC, Funderburk CH (1989) The use of bacitracin irrigation to prevent infection in postoperative skeletal wounds. An experimental study. J Bone Joint Surg Am 71(3):427–430\nDemir B, Senerbahce Z, Guzel AI, Demir S, Kilinc N (2011) Abdominal wall endometriosis following cesarean section: report of five cases. Clin Exp Obstet Gynecol 38(3):288–290\nDordević M, Jovanović B, Mitrović S, Dordević G, Radovanović D, Sazdanović P (2009) Rectus abdominis muscle endometriosis after cesarean section-case report. Acta Clin Croat 48(4):439–443\nUpadhyaya P, Karak AK, Sinha AK, Kumar B, Karki S, Agarwal CS (2010) Abdominal wall endometriosis. JNMA J Nepal Med Assoc 49(178):158–160\nDisclosures\nThe authors have no conflicts of interest to disclose.\nAuthor information\nAuthors and Affiliations\nCorresponding author\nRights and permissions\nAbout this article\nCite this article\nPerry, A.W., Abernathie, B., Barnard, N. et al. Unexpected Encounter with Painless Endometriosis During Abdominoplasty. Aesth Plast Surg 37, 173–176 (2013). https://doi.org/10.1007/s00266-012-0032-x\nReceived:\nAccepted:\nPublished:\nIssue date:\nDOI: https://doi.org/10.1007/s00266-012-0032-x","source_license":"CC0","license_restricted":false}