A prospective study of abdominal wall endometriomas: a review of 16 cases

Y. Lakshmi Nalini, Manipal Kumar Puvvala, Akhilesh Chandra, Rajalingam
In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology · 2017 · vol. 6(7) , pp. 2784 · doi:10.18203/2320-1770.ijrcog20172531 · W2619669787
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This study analyzed 16 cases of abdominal wall endometriosis, finding a link between the condition and Cesarean sections, with cyclical pain and local masses being primary symptoms.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-08 · read from full text ⓘ

This prospective case series reviewed 16 patients with abdominal wall endometriomas over a 3-year period (September 2013–September 2016), analyzing age, symptoms (including mass and cyclical pain), menstrual-cycle relationship, prior surgical history (notably Caesarean section), physical examination findings, imaging (ultrasound for all; CT in 2 patients), and surgical excision outcomes. The main reported findings were that patients were aged 20–35 years, presented with a local mass and cyclical pain with menstruation, and that wide surgical excision was performed in all cases. The paper explicitly notes abdominal wall endometrioma as a rare entity with uncertain incidence and emphasizes a definite relationship between abdominal wall endometriomas and prior Caesarean sections. This paper is centrally about endometriosis — it specifically describes a prospective review of abdominal wall endometriomas occurring in surgical scars.

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Abstract

Background: Endometriosis is a disorder in which an ectopic endometrial tissue grows outside the uterine cavity. The ectopic endometrium in abdominal wall is called as abdominal wall endometriosis (AWE). AWE is a very rare condition and exact incidence is not known. This is usually known to develop along with previous surgical scars especially following Caesarean section and Hysterectomy.Methods: Retrospective analysis of the patients operated for AWE was done. Data relating to age, symptomology, and previous caesarean section, relation to symptoms with the menstrual cycle, physical examination, surgical treatment and post-operative course was analyzed.Results: 16 patients were operated during the study period of 3 years between September 2013-september 2016.The ages ranged between 20-35 years. Presences of local mass and cyclical pain during menstruation were the main symptoms. Ultrasonography was done in all the cases and CT abdomen was done in few cases (2) to know the exact depth of the mass and to differentiate from other diseases. Wide surgical excision was carried out in all cases.Conclusions: There is definite relationship with AWE and caesarean sections in women.
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Background

Endometriosis is a disorder in which an ectopic endometrial tissue grows outside the uterine cavity. The ectopic endometrium in abdominal wall is called as abdominal wall endometriosis (AWE). AWE is a very rare condition and exact incidence is not known. This is usually known to develop along with previous surgical scars especially following Caesarean section and Hysterectomy.

Methods

Retrospective analysis of the patients operated for AWE was done. Data relating to age, symptomology, and previous caesarean section, relation to symptoms with the menstrual cycle, physical examination, surgical treatment and post-operative course was analyzed.

Results

16 patients were operated during the study period of 3 years between September 2013-september 2016.The ages ranged between 20-35 years. Presences of local mass and cyclical pain during menstruation were the main symptoms. Ultrasonography was done in all the cases and CT abdomen was done in few cases (2) to know the exact depth of the mass and to differentiate from other diseases. Wide surgical excision was carried out in all cases.

Conclusions

There is definite relationship with AWE and caesarean sections in women. Metrics

References

Williams HE, Barsky S, Storino W. Umbilical endometrioma (silent type). Arch Dermatol. 1976;112(10):1435-6. Benagiano G, Drosens I. The history of endometriosis: identifying the disease. Hum Repord. 1991;6(7):963-8. Dwivedi AJ, Agrawal SN, Silva YJ. Abdominal will endometriomas. Dig Dis Sci. 2002;47:456-61. Ding Y, Zhu J. A retrospective review of abdominal wall endometriosis in Shanghai, China. Int J Gynecol Obstet. 2013;121(1):41-44. Witz CA. Current concepts in the pathogenesis of endometriosis. Clin Obstet Gynecol. 1999;42:566-85. Zafrakas M, Tarlatzis BC, Streichert T, Pournaropoulos F, Wölfle U, Smeets SJ. Genome-wide microarray gene expression, array- CGH analysis, and telomerase activity in advanced ovarian endometriosis:A high degree of differentiation rather then malignant potential. Int J Mol Med 2008;21:335-44. Nominato NS, Prates LFVS, Lauar I, Morais J, Maia L, Geber S. Scar endometriosis: a retrospective study of 72 patients. Rev Bras Gynecol Obstet. 2007;29(8):423-27. Honore GM. Extrapelvic endometriosis. Clin Obstet Gynecol. 1999;42:699-711. Lakshmi L, Londhe V, Tejovathy K, Varghese L, Visali J, Kekre A. Abdominal wall endometriosis: accuracy of the diagnostic triad. Int J Reprod Contracept Obstet Gynecol. 2015;4(5):1417-21. Ecker AM, Donnellan NM, Shepherd JP, Lee TT. Abdominal wall endometriosis: 12 years of experience at a large academic institution. Am J Obstet Gynecol. 2014;211:363-5.

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Condition tags

endometriosis

Citation neighborhood

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References (6)

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