Spontaneous Abdominal Wall Endometriosis: a Case Report

Th S Papavramidis, Papavramidis TS, Theodossios Papavramidis, Sapalidis K, Konstantinos Sapalidis, K Sapalidis, Nikolaos Michalopoulos, N Michalopoulos, Karayanopoulou G, G. Karayanopoulou, Georgia Raptou, G Raptou, Raptou G, Valentini Tzioufa, V Tzioufa, Tzioufa V, Ισαάκ Κεσίσογλου, Kesisoglou I, I Kesisoglou, Theodossis S. Papavramidis, S T Papavramidis, Papavramidis ST
Acta chirurgica Belgica · 2009 · vol. 109(6) , pp. 778–781 · doi:10.1080/00015458.2009.11680536 · PMID:20184068 · W2346228002
article OA: closed CC0 ⤵ 27 in-corpus citations
View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This case report details the diagnosis and surgical excision of spontaneous abdominal wall endometriosis in a 28-year-old woman presenting with a painful mass and cyclic symptoms.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

Abstract

Endometriosis is the presence of endometrial glands and stroma outside the uterus. Spontaneous abdominal wall endometriosis (AWE) is any ectopic endometrium found superficial to the peritoneum without the presence of any previous scar. Rarely, endometriosis represents a disease of specific interest to the general surgeon, on account of its extrapelvic localisations. We describe a case with spontaneous AWE presenting as a painful mass with cyclic symptoms. A 28-year-old woman presented to the day-surgery division of our department, suffering from a painful mass in the left lower abdominal quadrant. A mobile mass of 5 x 4 cm was identified. The initial diagnosis was lipoma and excision was planned. During the operation two masses were spotted, very close to one another, and were excised within healthy limits. Pathology revealed endometrial glands surrounded by a disintegrating mantle of endometrial stroma and fibrous scar tissue in which there was a scattering of leucocytes. The woman had no scars. She was discharged from hospital after 2 hours. Two years after the excision she is free of disease and no recurrence has been observed. Spontaneous AWE is rare, accounting for 20% of all AWEs. The triad ; mass, pain and cyclic symptomatology helps in the diagnosis, but unfortunately it is not present in all cases. Spontaneous endometriomas are usually diagnosed by pathology and the treatment of choice is surgical excision.

My notes (saved in your browser only)

Condition tags

endometriosis

MeSH descriptors

Abdominal Wall Endometriosis Abdominal Wall Adult Endometriosis Endometriosis Endometrium Endometrium Female Humans

Citation neighborhood

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. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (29)

Cited by (28)

Source provenance

europepmc
last seen: 2026-08-09T06:10:49.860119+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-05-13T22:17:18.915199+00:00
unpaywall
last seen: 2026-06-13T06:42:57.164913+00:00
License: CC0 · commercial use OK