Abdominal Wall Scar Endometrioma.

A. Jackson, Jonathan Smith, Badri Man Shrestha
In: Kathmandu University medical journal (KUMJ) · 2017 · vol. 17(58) , pp. 185–187 · PMID:34547855 · W3200872622
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Abdominal wall scar endometrioma, presenting as a lump with cyclical pain after surgery, requires differential diagnosis and can develop aggressive adenocarcinoma, necessitating early diagnosis and surgical excision for best outcomes.

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⚙ AI-generated deep summary by qwen3.7-flash, 2026-08-21 · read from full text ⓘ

This case report and literature review describes abdominal wall scar endometrioma, a rare condition presenting as a lump and cyclical pain following caesarean sections or gynecological surgeries. The authors highlight the importance of distinguishing this entity from other masses like hematomas or malignancies due to the aggressive nature of potential adenocarcinomas arising from it. They emphasize that early diagnosis through imaging modalities such as ultrasound, MRI, or CT-guided localization, followed by surgical excision, leads to the best clinical outcomes. This paper is centrally about endometriosis — specifically focusing on the presentation, differential diagnosis, and management of endometriomas occurring within abdominal wall scars.

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Abstract

Abdominal wall scar endometrioma is an uncommon clinical entity, which presents with lump and cyclical abdominal pain during menstruation, which develops after caesarean section or gynaecological procedures. Differential diagnosis includes a haematoma, desmoid tumour, incisional hernia, sarcoma, metastatic malignancies and suture granuloma. Adenocarcinoma developing from abdominal wall scar endometrioma are aggressive and carry poor prognosis. An awareness of this clinical entity is important to establish its diagnosis early and ultrasound scan, magnetic resonance scan, or a computerised tomographic-guided localization followed by surgical excision provides best outcome. Here in, a case of abdominal wall scar endometrioma is reported and review of pertinent literature is presented.
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Abdominal Wall Scar Endometrioma - PMID: 34547855 Abdominal Wall Scar Endometrioma Abstract Abdominal wall scar endometrioma is an uncommon clinical entity, which presents with lump and cyclical abdominal pain during menstruation, which develops after caesarean section or gynaecological procedures. Differential diagnosis includes a haematoma, desmoid tumour, incisional hernia, sarcoma, metastatic malignancies and suture granuloma. Adenocarcinoma developing from abdominal wall scar endometrioma are aggressive and carry poor prognosis. An awareness of this clinical entity is important to establish its diagnosis early and ultrasound scan, magnetic resonance scan, or a computerised tomographic-guided localization followed by surgical excision provides best outcome. Here in, a case of abdominal wall scar endometrioma is reported and review of pertinent literature is presented.

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Condition tags

endometrioma

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