Abdominal Wall Endometriosis – Case Series

Shamsun Nahar, Naznin Naher, Dilshad Jahan, SM Khaliduzzaman, Dilip Kumar Kundu
In: Bangladesh Journal of Obstetrics & Gynaecology · 2019 · vol. 34(2) , pp. 134–140 · doi:10.3329/bjog.v34i2.58281 · W4285785096
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This case series describes three patients with umbilical endometriosis presenting with cyclical painful abdominal masses, emphasizing the need for early recognition and surgical excision.

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This case series examines abdominal wall endometriosis, a rare form of extra-pelvic disease that typically manifests as a painful mass during menstruation following prior surgeries like cesarean deliveries. The authors present three specific cases involving umbilical endometriosis in patients aged 13 to 28 years, noting symptoms such as cyclical pain and bleeding from the umbilical site. They emphasize that definitive diagnosis requires complete excision and histopathological examination to ensure optimal treatment outcomes. This paper is centrally about endometriosis — specifically focusing on the clinical presentation, diagnosis, and surgical management of abdominal wall and umbilical variants.

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Abstract

Endometriosis is primarily a disease of pelvis. Extra pelvic endometriosis is defined, when eutrophic endometrial tissue is detected in any site other than pelvic cavity with the specification that this invasion is benign (non-neoplastic) in nature. Endometriotic lesions are usually found on the peritoneal surfaces of the reproductive organs and adjacent structures of the pelvis, but it can occur anywhere in the body. Extra pelvic endometriosis is a rare condition and it’s most common extra-pelvic location is the abdominal wall, occurring most frequently after cesarean delivery or any other abdominal surgery. Other sites are gastrointestinal tract, respiratory tract, pleura, pericardium, diaphragm and primary umbilical endometriosis. Patient’s usually present with painful mass in the abdominal wall during menstrual period, sometimes with a typical presentation, but recently incidences of scar endometriosis is increased. Two cases are presented here. To obtain a definitive diagnosis and optimal treatment for abdominal wall endometriosis, complete excision & histopathological examination are necessary. Here we presents 3 cases with umbilical endometriosis who presented between 13 to 28 years of age. Our all cases presented with a cyclical painful, abdominal mass and sometimes bleeding from umbilical mass. Also we highlight the importance of early recognition and appropriate surgical intervention to minimize morbidity and mortality from endometriosis. Bangladesh J Obstet Gynaecol, 2019; Vol. 34(2): 134-140
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Abdominal Wall Endometriosis – Case Series Keywords: pelvis, non-neoplasticAbstract Endometriosis is primarily a disease of pelvis. Extra pelvic endometriosis is defined, when eutrophic endometrial tissue is detected in any site other than pelvic cavity with the specification that this invasion is benign (non-neoplastic) in nature. Endometriotic lesions are usually found on the peritoneal surfaces of the reproductive organs and adjacent structures of the pelvis, but it can occur anywhere in the body. Extra pelvic endometriosis is a rare condition and it’s most common extra-pelvic location is the abdominal wall, occurring most frequently after cesarean delivery or any other abdominal surgery. Other sites are gastrointestinal tract, respiratory tract, pleura, pericardium, diaphragm and primary umbilical endometriosis. Patient’s usually present with painful mass in the abdominal wall during menstrual period, sometimes with a typical presentation, but recently incidences of scar endometriosis is increased. Two cases are presented here. To obtain a definitive diagnosis and optimal treatment for abdominal wall endometriosis, complete excision & histopathological examination are necessary. Here we presents 3 cases with umbilical endometriosis who presented between 13 to 28 years of age. Our all cases presented with a cyclical painful, abdominal mass and sometimes bleeding from umbilical mass. Also we highlight the importance of early recognition and appropriate surgical intervention to minimize morbidity and mortality from endometriosis. Bangladesh J Obstet Gynaecol, 2019; Vol. 34(2): 134-140 237 295

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endometriosis

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