Asymptomatic abdominal wall endometrioma 15 years after cesarean section

Vlad Tica, V I Tica, Tica VI, C L Tomescu, Cristina Tomescu, Tomescu CL, Tomescu A, Aneta Tomescu, Micu L, Luminiţa Genţiana Micu, Luminiţa Micu, M Zaher, Zaher M, Bafani S, S Bafani, M Beghim, Beghim M, L Serbănescu, Serbănescu L, Lucian Șerbănescu, Irina Tica, Tica I
Romanian journal of morphology and embryology = Revue roumaine de morphologie et embryologie · 2006 · vol. 47(3) , pp. 301–4 · PMID:17308693 · W2474219687
Case report OA: closed CC0 ⤵ 4 in-corpus citations
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A case of asymptomatic abdominal wall endometrioma was accidentally discovered during a cesarean section 15 years after a previous cesarean, highlighting its potential for late, silent presentation.

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Abstract

Abdominal wall endometriosis is rare and its diagnosis is difficult. However, the consequences may be serious, like recurrences or even malignant transformation. We report a rarer case of asymptomatic abdominal wall endometrioma, accidentally found during a surgical procedure for a second cesarean section, in a 39-years old patient, without any relevant history of endometriosis. The tumor was subcutaneous, 3/3 cm in size, located in the left angle of the incision from the 15 years previously performed cesarean section and freely mobile in relation with the skin and the fascia. It was excised, with clear margins (to prevent recurrences), during the procedure. The patient was discharged after five days. The postoperative period and the follow-up at one and three months were uneventful. The pathological examination clarified the diagnosis by revealing an endometrioma with decidual reaction. Such a condition may be, therefore, evoked before an abdominal wall tumor, even without specific symptoms, even in a 39-years old woman and longtime after the possible causal surgery. Pathological examination remains the ultimate diagnostic tool. Relevant prophylactic attitude at the end of the cesarean section may be considered.

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Condition tags

endometriosisendometrioma

MeSH descriptors

Abdominal Wall Abdominal Wall Abdominal Wall Cesarean Section, Repeat Cesarean Section, Repeat Endometriosis Adult Adult Endometriosis Endometriosis Endometriosis Female Female Humans Humans Incidental Findings Incidental Findings Peritoneal Diseases Peritoneal Diseases Peritoneal Diseases

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Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (29)

Cited by (4)

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