ENDOMETRIOMA DE MÚSCULO RECTO ABDOMINAL EN PACIENTE CON CICATRIZ DE CESÁREA

José Luis Troncoso J, Paolo Ricci A, Lidia Díaz G
In: Revista chilena de obstetricia y ginecología · 2008 · vol. 73(2) · doi:10.4067/s0717-75262008000200008 · W1966397553
article OA: hybrid CC0 ⤵ 1 in-corpus citation
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⚙ AI-generated summary by claude@2026-06, 2026-06-28 ⓘ

This case study describes an abdominal wall endometrioma in a patient with a prior cesarean scar, reviewing diagnostic approaches and recommending surgical resection with wide margins to prevent recurrence.

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Abstract

La pesquisa de un nodulo en la pared abdominal, en una paciente con antecedente de cirugía ginecológica u obstétrica, debe considerar un posible endometrioma. La anamnesis y la ecografía, son los elementos principales, en la hipótesis diagnóstica. La punción y aspiración con aguja fina puede considerarse entre los exámenes pre-operatorios. El tratamiento es quirúrgico y consiste en una resección completa del tumor, lo que nos permitirá a través del estudio histológico, la confirmación diagnóstica, ante la presencia de glándulas endometriales. Para disminuir la posibilidad de recidiva, se debe realizar una resección con márgenes amplios. Presentamos un caso de endometrioma de músculo recto abdominal, en una paciente con antecedente de cesárea 2 años previos. Revisamos el diagnóstico diferencial, los métodos de aproximación diagnóstica y el tratamiento.The finding of an abdominal wall nodule in a patient with a history of gynecological or obstetrical surgery, must consider possible endometrioma. The anamnesis and ultrasound are the main elements in the diagnostic hypothesis. Fine needle aspiration cytology can be considered in the preoperative evaluations. The treatment is surgical and consists of a complete resection, with histopathological study to confirm the diagnosis, when the endometrial glands are observed. In order to diminish or avoid recurrence, resection must be performed with wide margins. We present a case of abdominal wall endometrioma in the rectus abdomis muscles, in a patient with caesarean section scar two years before. We review the differential diagnosis in an abdominal wall mass, the diagnostic approach methods and the treatment.

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endometrioma

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