[Abdominal wall endometriosis as rare differential diagnosis of a soft-tissue tumor]

K Cziupka, Cziupka K, Partecke LI, L I Partecke, Thiele A, A Thiele, H Paul, Paul H, A Schreiber, Schreiber A, Heidecke CD, C-D Heidecke, Busemann A, A Busemann
Zentralblatt fur Chirurgie · 2011 · doi:10.1055/s-0030-1247447 · PMID:20617492
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This case report discusses a 33-year-old patient presenting with a palpable lump in her right lower abdomen, which had slightly enlarged over two years.

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This case report describes a 33-year-old woman presenting with a progressively enlarging, palpable mass in the right lower abdomen. Despite an unremarkable gynecological history and absence of dysmenorrhea, histological examination confirmed the lesion as abdominal wall endometriosis rather than a soft-tissue tumor. The authors highlight that this condition should be considered a rare differential diagnosis for abdominal masses even in patients without prior surgical scars or typical menstrual symptoms. This paper is centrally about endometriosis — specifically, it details the clinical presentation and diagnostic challenge of abdominal wall endometriosis mimicking a neoplasm.

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Subscribe to RSS DOI: 10.1055/s-0030-1247447 © Georg Thieme Verlag Stuttgart ˙ New York Ein Endometriom in der Bauchdecke als seltene Differenzialdiagnose eines Weichgewebstumors Abdominal Wall Endometriosis as Rare Differential Diagnosis of a Soft‐tissue TumorPublication History Publication Date: 08 July 2010 (online) Anamnese Eine 33-jährige Patientin wurde uns mit einer tastbaren Verhärtung im rechten Unterbauch vorgestellt. Die Raumforderung hatte die Patientin erstmalig vor zwei Jahren bemerkt, im Verlauf sei sie leicht in der Größe progredient gewesen. Eine Druckdolenz der Raumforderung bestand zu keinem Zeitpunkt. Aus der Anamnese der Patientin waren neben einer zweimaligen Sectio und einer Laparoskopie mit Appendektomie keine Voroperationen bekannt. Insbesondere war auch die gynäkologische Anamnese unauffällig. Eine Dysmenorrhö verneinte die Patientin. Literatur - 1 Ulrich U, Hucke J, Schweppe K W. Recommendations for diagnosis and treatment of endometriosis. Zentralbl Gynakol. 2005; 127 338-345 - 2 Bulun S E. Endometriosis. N Eng J Med. 2009; 360 268-279 - 3 Horton J D, Dezee K J, Ahnfeldt E P et al. Abdominal wall endometriosis: a surgeon’s perspective and review of 445 cases. Am J Surg. 2008; 196 207-212 - 4 Tomas E, Martin A, Garfia C et al. Abdominal wall endometriosis in absence of previous surgery. J Ultrasound Med. 1999; 18 373-374 - 5 Mechsner S, Infanger M, Ebert A D et al. Abdominal wall endometriosis. diagnosis and therpeutic management. Geburtsh Frauenheilk. 2010; 70 207-214 - 6 Bats A S, Zafrain Y, Pantier P et al. Malignant transformation of abdominal wall endometriosisto clear cell carcinoma: case report and review of the literature. Fertil Steril. 2008; 90 1197e13-1197e16 - 7 Blanco R G, Parithivel V S, Shah A K et al. Abdominal wall endometriomas. Am J Surg. 2003; 185 596-598 - 8 Spree E, Niemann U, Wenisch H. Sporadische extraperitoneale Desmoidtumoren. Übersicht und Bericht über 4 Fälle. Zentralbl Chir. 2005; 130 449-453 - 9 Zhao X, Lang J, Leng J et al. Abdominal wall endometriomas. Int J Gynaecol Obstet. 2005; 90 218-222 Dr. K. Cziupka Universität Greifswald · Chirurgie Friedrich Löffler Straße 17475 Greifswald Deutschland Phone: 0 38 34 / 86 55 90 Fax: 0 38 34 / 86 55 91 Email: [email protected]

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Condition tags

endometriosis

MeSH descriptors

Abdominal Neoplasms Abdominal Wall Abdominal Wall Endometriosis Endometriosis Soft Tissue Neoplasms Abdominal Neoplasms Abdominal Wall Adult Diagnosis, Differential Disease Progression Endometriosis Endometriosis Female Humans Magnetic Resonance Imaging Soft Tissue Neoplasms

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