Parietal Endometriosis: A Challenge for the General Surgeon

Nadejda Cojocari, Ciutacu L, Laura Ciutacu, Ioana Gabriela Lupescu, Ioana Lupescu, Lupescu I, Vlad Herlea, Herlea V, M. Vasilescu, Vasilescu ME, Mihaela Elena Vasilescu, Mirela Patricia Sîrbu Boeți, Mirela Patricia Sîrbu, Sîrbu MP
Chirurgia (Bucharest, Romania : 1990) · 2018 · vol. 113(5) , pp. 695 · doi:10.21614/chirurgia.113.5.695 · PMID:30383996 · W2898646138
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This study highlights parietal endometriosis as a rare surgical condition requiring careful history, physical examination, and imaging for accurate diagnosis and appropriate surgical management.

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Abstract

Background: Parietal endometriosis (PE) is a rare pathology, which usually develops in fertile women, after surgical or gynecological procedures. Its quasi-pathognomonic symptomatology consists in catamenial pain with or without palpable mass. The diagnosis can be challenging because it may be confused with stitch granuloma, hematoma, hernia or even cancer. Patients and methods: Between January 2007 and December 2017, 10 female patients with PE were referred for diagnosis and surgery to our clinic. Results: The mean age of the patients was 35.8 years. The primary symptom was pain (9/10 patients) and a palpable mass was present in all patients. Five cases were correctly preoperatively diagnosed as PE and five were misdiagnosed as tumors (4 patients) and stitch granuloma (1 patient). Eight patients had a history of gynecological procedure (cesarean section, episiotomy) and two had no previous surgical interventions. The size of the mass varied from 1 cm to 14 cm. Resection of PE required parietal reconstruction with mesh in five patients but for the rest of the patients no mesh was needed. Conclusions: Our study confirms PE as a rare surgical entity and indicates the necessity of thorough history and physical examination, as well as imaging exams, for making the correct diagnosis in order to choose the appropriate surgical procedure.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Endometriosis Surgeons Surgeons Adult Adult Cesarean Section Cesarean Section Female Female Gynecologic Surgical Procedures Gynecologic Surgical Procedures Humans Humans Pregnancy Pregnancy Treatment Outcome Treatment Outcome

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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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