Abdominal wall endometriomas.
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This study found abdominal wall endometriomas were present in 12% of endometriosis patients, often appearing 39 months after surgery, and are best treated with wide surgical excision.
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Abstract
OBJECTIVE: Abdominal wall endometriosis is rare, with an incidence of 0.03-0.47% following cesarean delivery. STUDY DESIGN: The study reviewed abdominal wall endometriomas during an 8-year period in the Department of Obstetrics and Gynecology of the Kaohsiung Municipal Hsiao-Kang Hospital. RESULTS: Of 166 patients with endometriosis treated surgically in the hospital during an 8-year period, 20 (12%) had abdominal wall endometriomas. The mean interval between the prior operation and the appearance of the first symptoms was 39.3 months. Preoperative diagnosis was correct in 14 patients (70%). CONCLUSION: Abdominal wall endometrioma is more common than generally assumed in patients visiting the hospital. In patients with a palpable subcutaneous mass near surgical scars associated with cyclic or constant pain, a thorough history and physical examination are sufficient to establish the presence of endometriomas. A surgical-wide excision with clear margins is the single treatment of choice.
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Cited by (29)
- Endometriosis de la pared abdominal: a propósito de un caso raro 2023
- Abdominal wall endometriosis in the caesarean section surgical scar- a case report 2022
- Cumulative Recurrence Rate and Risk Factors for Recurrent Abdominal Wall Endometriosis after Surgical Treatment in a Single Institution 2022
- One of the rare reason of abdominal pain: abdominal wall endometriosis 2021
- A non-classical presentation of scar endometriosis during pregnancy: Case report and review of literature 2021
- Abdominal Wall Endometriosis: A Case Report 2019
- Cesarean scar endometriosis: presentation of 198 cases and literature review 2019
- Clinical and imaging features of abdominal wall endometriomas 2018
- The clinical characteristics and surgical approach of scar endometriosis: A case series of 14 women 2017
- A Retrospective Study of 17 Patients who Had Excision of Abdominal wall Endometriosis after Caesarean Section over an 11-Year Period 2017
- Abdominal Wall Endometriosis Mimicking Metastases 2017
- Abdominal wall endometriosis: an update in clinical, imagistic features, and management options 2017
- Evaluation of Cases of Abdominal Wall Endometriosis at Universidade Estadual de Campinas in a period of 10 Years 2017
- Techniques in minimally invasive surgery for advanced endometriosis 2016
- Abdominal Wall Endometriosis on the Right Port Site After Laparoscopy: Case Report and Literature Review. 2015
- Cesarean scar endometrioma: Case series 2014
- Abdominal wall endometriosis: 12 years of experience at a large academic institution 2014
- Diagnostic value of susceptibility-weighted imaging of abdominal wall endometriomas during the cyclic menstrual changes: A preliminary study 2013
- Surgical Treatment of Scar Endometriosis Following Cesarean Section, a Series of 12 Cases 2013
- Rectus abdominis muscle endometriotic mass in a woman affected by multiple sclerosis 2012
- Clinical manifestations of abdominal wall endometriosis: a single center experience 2012
- Laparoscopic Trocar Port Site Endometriosis: A Case Report and Brief Literature Review 2012
- Ultrasound-guided wired localisation for resection of impalpable anterior abdominal wall scar endometriomas 2011
- Massive abdominal wall endometriosis masquerading as desmoid tumour 2011
- Primary Infertility Associated with Abdominal Wall, Bowel, and Pelvic Endometriosis 2011
- Endométriose de la paroi abdominale 2010
- Caesarean section greatly increases risk of scar endometriosis 2010
- Creation of a Uterine Scar Endometrioma after Uterine Perforation at the Time of a Dilation and Evaucation 2009
- 特集「原子レベルの結晶成長機構」によせて 1989
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