Clinical manifestations of abdominal wall endometriosis: a single center experience

Jeonghyun Kang, Jeong-Heum Baek, Jeong‐Heum Baek, Lee WS, Won-Suk Lee, Won‐Suk Lee, Tae Ho Cho, Cho TH, Lee JN, Jung Nam Lee, Woon Kee Lee, Lee WK, Min Chung, Chung M
Archives of gynecology and obstetrics · 2012 · vol. 287(2) , pp. 301–305 · doi:10.1007/s00404-012-2565-2 · PMID:23001365 · W2064438909
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-09 ⓘ

This retrospective study investigated 37 women treated for abdominal wall endometriosis, finding palpable mass and pain to be the most common symptoms, and wide excision with adequate preoperative estimation as essential for treatment.

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This single-center retrospective study examined clinical manifestations and treatment outcomes in 37 women diagnosed with abdominal wall endometriosis at Gil Medical Center between 2002 and 2010. Most patients reported an initial palpable abdominal wall mass (97.2%), and about half had cyclic or spontaneous pain; the time from prior pelvic surgery to symptom onset had a median of 30 months. Preoperative diagnosis was correct in 68.9% of patients assessed, with abdominal ultrasound accuracy of 80%, and all patients were treated with wide excision, with one recurrence occurring 34 months postoperatively. The paper does not explicitly discuss endometriosis beyond its specific focus on abdominal wall endometriosis, which is a manifestation within the broader endometriosis spectrum, and thereby is centrally about endometriosis — specifically characterizing abdominal wall endometriosis clinical presentations and outcomes after prior pelvic surgery.

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Abstract

ObjectiveThis study aimed to investigate the clinical manifestations and treatment outcomes of abdominal wall endometriosis (AWE).Materials and methodsPatients diagnosed with AWE at the Gil Medical Center from January 2002 to September 2010 were retrospectively reviewed.ResultsThirty-seven women were treated for AWE during the study period. Median age was 34 (range 24-45) years, and median duration from last pelvic surgery until symptom onset was 30 (range 6-96) months. The most common initial symptom was a palpable mass (36, 97.2 %), followed by cyclic or spontaneous pain (21, 56.8 %). Preoperative diagnoses were accurate in 20 of 29 patients (68.9 %), who underwent a preoperative imaging study. The accuracy of abdominal US was 80 % (12/15). All patients underwent wide excision, and the median tumor size was 3.5 (range 1.0-10.0) cm. One patient experienced recurrence at 34 months postoperatively.ConclusionsPhysicians should be aware of AWE in any woman presenting with palpable mass and/or pain at the abdominal wall, especially after pelvic surgery. Adequate preoperative estimation and wide excision might be essential for the treatment of AWE.
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Materials and methods

Patients diagnosed with AWE at the Gil Medical Center from January 2002 to September 2010 were retrospectively reviewed.

Results

Thirty-seven women were treated for AWE during the study period. Median age was 34 (range 24-45) years, and median duration from last pelvic surgery until symptom onset was 30 (range 6-96) months. The most common initial symptom was a palpable mass (36, 97.2 %), followed by cyclic or spontaneous pain (21, 56.8 %). Preoperative diagnoses were accurate in 20 of 29 patients (68.9 %), who underwent a preoperative imaging study. The accuracy of abdominal US was 80 % (12/15). All patients underwent wide excision, and the median tumor size was 3.5 (range 1.0-10.0) cm. One patient experienced recurrence at 34 months postoperatively.

Conclusions

Physicians should be aware of AWE in any woman presenting with palpable mass and/or pain at the abdominal wall, especially after pelvic surgery. Adequate preoperative estimation and wide excision might be essential for the treatment of AWE. - Appears in Collections: - 1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers - Yonsei Authors - Kang, Jeonghyun(강정현) https://orcid.org/0000-0001-7311-6053 Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

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Condition tags

endometriosis

MeSH descriptors

Abdominal Wall Abdominal Wall Abdominal Wall Abdominal Wall Endometriosis Postoperative Complications Adult Cesarean Section Endometriosis Endometriosis Endometriosis Female Follow-Up Studies Humans Middle Aged Postoperative Complications Postoperative Complications Retrospective Studies Treatment Outcome Ultrasonography

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.

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