Large Abdominal Wall Endometrioma Following Laparoscopic Hysterectomy
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A 45-year-old woman developed a large 9cm abdominal wall endometrioma two years after a laparoscopic hysterectomy, presenting as a pelvic mass and pain.
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Abstract
BACKGROUND: Endometriosis is a common condition in women that affects up to 45% of patients in the reproductive age group by causing pelvic pain. It is characterized by the presence of endometrial tissue outside the uterine cavity and is rarely found subcutaneously or in abdominal incisions, causing it to be overlooked in patients with abdominal pain. METHODS: A 45-year-old woman presented with lower abdominal pain 2 years following a laparoscopic supracervical hysterectomy. She was found to have incidental cholelithiasis and a large abdominal mass suggestive of a significant ventral hernia on CT scan. RESULTS: Due to the peculiar presentation, surgical intervention took place that revealed a large 9cm×7.6cm×6.2cm abdominal wall endometrioma. CONCLUSION: Although extrapelvic endometriosis is rare, it should be entertained in the differential diagnosis for the female patient who presents with an abdominal mass and pain and has a previous surgical history.
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Cited by (6)
- Endometriosis: An “Unexplored”, “Neglected” or “Forgotten” Condition in Africa? 2019
- Abdominal Wall Endometriosis Eleven Years After Cesarean Section: Case Report 2017
- Prevention of the recurrence of symptom and lesions after conservative surgery for endometriosis 2015
- Руководство европейского общества репродукции человека и эмбриологии (ESHRE): менеджмент женщин с эндометриозом 2014
- De Novo Endometrial Implant Into the Colon After Uterine Morcellation 2014
- Endometriosis in a post-laparoscopic scar – case report and literature review 2014
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- europepmc
- last seen: 2026-06-04T01:30:01.192114+00:00
- openalex
- last seen: 2026-06-04T00:00:01.174412+00:00
- pubmed
- last seen: 2026-05-13T22:16:35.898691+00:00
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