Nondecidualized and Decidualized Endometriosis of the Abdominal Wall (A Report of Two Cases Secondary to Cesarean Section)

Nihal Kılınç, Ahmet Yalınkaya, Mehmet Özaydın
In: TURKISH JOURNAL OF MEDICAL SCIENCES · 2002 · vol. 32(6) , pp. 505–508 · W319563691
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Abstract

involves functioning endometrial tissue outside the uterine cavity (2). Spontaneous cutaneous endometriosis is limited to the umbilicus and inguinal area (3). In other locations, such as the lower abdominal wall, it practically always arises in surgical scars (particularly those from caesarean sections) (3). Most reported cases of cutaneous endometriosis have occurred within scars or, rarely, within needle tracts; the remainder are spontaneous (4). It occurs in a variety of locations both within and outside of the peritoneal cavity. The most common locations are within the pelvis, including the ovaries, uterine ligaments, the rectovaginal septum, and peritoneum. Unusual sites of endometriosis outside the pelvis have been reported, including the intestine, appendix, bladder and skin (scar, umbilicus, perineum, inguinal region) (4). When symptomatic, endometriosis of the abdominal wall, inguinal region, or surgical scar is difficult to diagnose; it is often confused with other pathologic conditions such as suture granuloma, abscess, hernia, lipoma, and primary or metastatic cancer (5).

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endometriosis

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