Abdominal wall endometriomas: report of eight cases

The American surgeon · 1999 · vol. 65(1) , pp. 36–9 · PMID:9915529 · W112098408
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This report describes eight cases of abdominal wall endometrioma in seven patients, presenting as painful masses following abdominal surgery, and details their diagnosis and wide local excision treatment.

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Abstract

Eight cases of abdominal wall endometrioma were encountered in seven patients from February 1994 through April 1996. The age of the patients ranged from 19 to 36 years, with an average age of 32.8 years. Ten abdominal procedures had been performed on these patients before the diagnosis of endometrioma: six cesarean sections, two diagnostic laparoscopies, one total vaginal hysterectomy, and one ventriculoperitoneal shunt. Symptoms occurred from 6 months to 10 years after their previous surgery. Only one patient had a prior diagnosis of endometriosis. The most common presentation was a cyclic painful abdominal mass. The differential diagnosis included endometrioma in four (50%) of the cases. Diagnostic tests used for preoperative evaluation included ultrasound, fine-needle aspiration, and computed tomography. All patients underwent wide local excision. There was one recurrence, requiring re-excision at 22 months postoperatively. The pathogenesis, diagnosis, treatment, and recent literature are discussed.

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Condition tags

endometriosisendometrioma

MeSH descriptors

Abdominal Muscles Abdominal Muscles Abdominal Muscles Abdominal Muscles Endometriosis Adult Adult Diagnosis, Differential Diagnosis, Differential Endometriosis Endometriosis Endometriosis Endometriosis Female Female Humans Humans Recurrence Recurrence

Citation neighborhood (2-hop)

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 ]

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