Abdominal wall reconstruction for a large caesarean scar endometrioma.
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This case report details the surgical management of a large endometrioma originating from a cesarean scar, discussing the technique and outcomes of abdominal wall reconstruction.
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Abstract
Endometrioma formation is an uncommon complication of caesarean sections. Frequently the diagnosis is delayed, due to a failure to include it in the differential diagnosis for an abdominal wall mass. The case of a thirty-six year-old female, presenting with the classical triad of a mass and cyclical pain arising in a caesarean section scar, is reported. Wide excision was performed via a transverse lower abdominal ellipse, similar to that used for abdominoplasty. The involved rectus muscle was excised and the abdominal wall was reconstructed using polypropylene mesh. An abdominoplasty-like approach affords clear margins for large caesarean section scar endometriomas thus reducing the recurrence risk. Abdominal wall reconstruction may be required for extensive lesions.
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References (6)
- Abdominal wall endometriomas via openalex
- Endometrioma of the abdominal wall via openalex
- Endometrioma of the Abdominal Wall Following Combined Abdominoplasty and Hysterectomy via openalex
- Incisional endometriosis: an underappreciated diagnosis in general surgery1 via openalex
- Presentation of endometriosis to general surgeons: A 10-year experience via openalex
- Presentation of endometriosis to general surgeons: A 10-year experience via openalex
Cited by (4)
- Endometriosis of the Rectus Muscle: A Single-Center Experience and a Novel Laparoscopic Approach 2020
- Intramuscular Abdominal Wall Endometriosis Treated by Ultrasound-Guided Ethanol Injection 2014
- Resection and repair of large abdominal wall lesions in gynecologic patients 2013
- A Case of Reconstruction of Abdominal Fascia Using Polypropylene Mesh for Patient of Abdominal Wall Endometriosis After Cesarean Section 2012
Source provenance
- europepmc
- last seen: 2026-08-10T06:11:17.106188+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-05-13T22:13:59.677786+00:00
- unpaywall
- last seen: 2026-08-10T06:43:36.850308+00:00
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