Abdominal incision endometriomas.
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This paper reviews abdominal incision endometriomas, particularly those near cesarean scars, and notes their underappreciation by general surgeons despite their established diagnosis via clinical history and treatment by surgical excision.
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Abstract
General surgeons frequently are asked to evaluate masses appearing in abdominal incisions. The differential diagnosis of these masses is extensive, including suture granulomas, hernias, abscesses, and malignant tumors. When evaluating masses in or near cesarean section scars, endometrioma should also be considered in the differential diagnosis. The presence of endometriomas in and around cesarean section scars clearly has been established in the obstetrics/gynecology literature, with the reported incidence ranging from 0.03 to 0.4 per cent. However, the presence of only two case reports in the general surgery literature suggests underappreciation of this pathologic entity by general surgeons. It also indicates that endometrioma commonly may not be considered in the differential diagnosis of masses detected in or near cesarean scars. Cesarean scar endometriomas are diagnosed by clinical history, with surgical excision as the primary mode of therapy.
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Cited by (33)
- Clinical features, diagnosis, and management of abdominal wall endometriosis: a review 2020
- Abdominal Wall Endometrioma in Previous Cesarean Section Scar: Case Report 2019
- Experiencia del departamento de hernias y pared en el manejo de endometriosis de pared abdominal durante 9 años 2019
- Scar endometriosis after laparotomy: Ultrasound diagnosis, surgical treatment, a post-mortem rationale 2017
- Abdominal wall endometriosis: an update in clinical, imagistic features, and management options 2017
- Scar endometriosis following hysterotomy: a case report 2014
- Surgical scar endometriosis 2013
- Recommending Different Treatments as Preventive Measures against Incisional Endometrioma. 2013
- Rarely seen abdominal wall endometriosis: 8 cases 2013
- Reliable clinical and sonographic findings in the diagnosis of abdominal wall endometriosis near cesarean section scar 2012
- A case of trocar site implantation of endometriosis three years after laparoscopic hysterectomy 2012
- The role of gonadotrophin releasing hormone agonist for the treatment of scar endometriosis 2012
- Perineal scar endometriosis ten years after Miles’ procedure for rectal cancer: Case report and review of the literature 2011
- Cesarean scar endometriosis: Presentation of eleven clinical cases and review of the literature 2011
- Cutaneous Incisional Endometriosis 2009
- Endometriomas in the region of a scar from Cesarean section: Sonographic appearance and clinical presentation vary with the size of the lesion 2009
- Two Cases of Extrapelvic endometriosis following Laparoscopy-assisted vaginal hysterectomy and Cesarean section 2007
- Abdominal Wall Endometriosis: Report Of A Case And How Much We Know About It? 2007
- Surgical scar endometriosis after Cesarean section: A case report 2006
- Scar endometriosis—a gynaecologic pathology often presented to the general surgeon rather than the gynaecologist: report of two cases 2006
- Casos Clínicos / Radiological Case Reports 2005
- Endometriosis sobre cicatriz de episiotomía y cesárea previa: 2 casos clínicos 2004
- Abdominal Wall Endometrioma: Localizing in Rectus Abdominus Sheath 2004
- [Endometriosis implant in cesarean section surgical scar]. 2004
- Abdominal Wall Endometriomas Near Cesarean Delivery Scars 2003
- Endometriosis umbilical con estudio de receptores hormonales 2003
- Abdominal Wall Endometriomas 2002
- Case Report Umbilical Endometriosis: A Diagnostic Dilemma 2002
- Endometrioma de pared abdominal: características clínicas y resultados del tratamiento quirúrgico 2002
- Incisional endometriosis: an underappreciated diagnosis in general surgery1 2000
- Umbilical endometriosis after unprotected removal of uterine pieces through the umbilicus 2000
- Endometriosis: presentation to general surgeons. 1999
- Subcutaneous Endometriomas: Two Case Reports and Review of the Literature 1998
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