Post-caesarean Section Cicatricial Parietal Endometriosis: Case Report and Review of the Literature at the Brazzaville University Hospital (Republic of Congo)

Introduction: Defined as the implantation of endometrial tissue within parietal abdominal structures more superficial than the peritoneum, parietal endometriosis is an exceptional localization of extragenital endometriosis, most often secondary to gynecological obstetric surgery. Clinical observation: We report the case of a 32-year-old patient presenting with an abdominal parietal pain syndrome in comparison with a post-caesarean cutaneous cicatrix, cyclic and rhythmic by menstruation. Ultrasonography of the soft tissues revealed two anterior, heterogeneous hypoechoic nodules with posterior reinforcement. A wide surgery with 1cm of healthy margin allowed the excision of the nodule interesting the subcutaneous tissue and the aponeurosis of the rectus abdominis muscle. The histology was in favour of a focal endometriosis of the abdominal wall extended to the fascia of the rectus muscle. Microscopic examination revealed endometrial glands of variable size, sometimes dilated, bordered by regular cylindrical epithelium, associated with a cytogenic chorion and lymphocytic inflammation, sometimes with blood. Immediate postoperative outcomes were simple. An LHRH analogue protocol (Leuprolide acetate 3.75 mg in one intramuscular injection every 28 days for 6 months) was instituted. Conclusion: Although exceptional, it is appropriate to think of an endometriosis before an abdominal pain syndrome abdominal wall of the woman during periods of genital activity. | Published in | Journal of Gynecology and Obstetrics (Volume 8, Issue 1) | | DOI | 10.11648/j.jgo.20200801.16 | | Page(s) | 24-27 | | Creative Commons | This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. | | Copyright | Copyright © The Author(s), 2020. Published by Science Publishing Group |

Endometriosis, Abdominal Wall, Scar, Caesarean Section, Brazzaville

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Current Concepts in the Pathogenesis of Endometriosis. Clin Obstet Gynecol 1999; 42 (3): 566–85. | | [14] | Kotwall CA, Kirkbride P, Zerafa AE, Murray D. Endometrial Cancer and Abdominal Wound Recurrence. Gynecol Oncol 1994; 53 (3): 357–60. | Cite This Article - APA Style Buambo Gauthier Régis Jostin, Eouani Max Lévy Eméry, Mouamba Fabien Gaël, Ali-Zaoro Fayçal Khalil, Mokoko Jules César, et al. (2020). Post-caesarean Section Cicatricial Parietal Endometriosis: Case Report and Review of the Literature at the Brazzaville University Hospital (Republic of Congo). Journal of Gynecology and Obstetrics, 8(1), 24-27. https://doi.org/10.11648/j.jgo.20200801.16 ACS Style Buambo Gauthier Régis Jostin; Eouani Max Lévy Eméry; Mouamba Fabien Gaël; Ali-Zaoro Fayçal Khalil; Mokoko Jules César, et al. Post-caesarean Section Cicatricial Parietal Endometriosis: Case Report and Review of the Literature at the Brazzaville University Hospital (Republic of Congo). J. Gynecol. Obstet. 2020, 8(1), 24-27. doi: 10.11648/j.jgo.20200801.16 AMA Style Buambo Gauthier Régis Jostin, Eouani Max Lévy Eméry, Mouamba Fabien Gaël, Ali-Zaoro Fayçal Khalil, Mokoko Jules César, et al. Post-caesarean Section Cicatricial Parietal Endometriosis: Case Report and Review of the Literature at the Brazzaville University Hospital (Republic of Congo). J Gynecol Obstet. 2020;8(1):24-27. doi: 10.11648/j.jgo.20200801.16 - @article{10.11648/j.jgo.20200801.16, author = {Buambo Gauthier Régis Jostin and Eouani Max Lévy Eméry and Mouamba Fabien Gaël and Ali-Zaoro Fayçal Khalil and Mokoko Jules César and Itoua Clautaire and Pecko Jean Félix and Iloki Léon Hervé}, title = {Post-caesarean Section Cicatricial Parietal Endometriosis: Case Report and Review of the Literature at the Brazzaville University Hospital (Republic of Congo)}, journal = {Journal of Gynecology and Obstetrics}, volume = {8}, number = {1}, pages = {24-27}, doi = {10.11648/j.jgo.20200801.16}, url = {https://doi.org/10.11648/j.jgo.20200801.16}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20200801.16}, abstract = {Introduction: Defined as the implantation of endometrial tissue within parietal abdominal structures more superficial than the peritoneum, parietal endometriosis is an exceptional localization of extragenital endometriosis, most often secondary to gynecological obstetric surgery. Clinical observation: We report the case of a 32-year-old patient presenting with an abdominal parietal pain syndrome in comparison with a post-caesarean cutaneous cicatrix, cyclic and rhythmic by menstruation. Ultrasonography of the soft tissues revealed two anterior, heterogeneous hypoechoic nodules with posterior reinforcement. A wide surgery with 1cm of healthy margin allowed the excision of the nodule interesting the subcutaneous tissue and the aponeurosis of the rectus abdominis muscle. The histology was in favour of a focal endometriosis of the abdominal wall extended to the fascia of the rectus muscle. Microscopic examination revealed endometrial glands of variable size, sometimes dilated, bordered by regular cylindrical epithelium, associated with a cytogenic chorion and lymphocytic inflammation, sometimes with blood. Immediate postoperative outcomes were simple. An LHRH analogue protocol (Leuprolide acetate 3.75 mg in one intramuscular injection every 28 days for 6 months) was instituted. Conclusion: Although exceptional, it is appropriate to think of an endometriosis before an abdominal pain syndrome abdominal wall of the woman during periods of genital activity.}, year = {2020} } - TY - JOUR T1 - Post-caesarean Section Cicatricial Parietal Endometriosis: Case Report and Review of the Literature at the Brazzaville University Hospital (Republic of Congo) AU - Buambo Gauthier Régis Jostin AU - Eouani Max Lévy Eméry AU - Mouamba Fabien Gaël AU - Ali-Zaoro Fayçal Khalil AU - Mokoko Jules César AU - Itoua Clautaire AU - Pecko Jean Félix AU - Iloki Léon Hervé Y1 - 2020/02/14 PY - 2020 N1 - https://doi.org/10.11648/j.jgo.20200801.16 DO - 10.11648/j.jgo.20200801.16 T2 - Journal of Gynecology and Obstetrics JF - Journal of Gynecology and Obstetrics JO - Journal of Gynecology and Obstetrics SP - 24 EP - 27 PB - Science Publishing Group SN - 2376-7820 UR - https://doi.org/10.11648/j.jgo.20200801.16 AB - Introduction: Defined as the implantation of endometrial tissue within parietal abdominal structures more superficial than the peritoneum, parietal endometriosis is an exceptional localization of extragenital endometriosis, most often secondary to gynecological obstetric surgery. Clinical observation: We report the case of a 32-year-old patient presenting with an abdominal parietal pain syndrome in comparison with a post-caesarean cutaneous cicatrix, cyclic and rhythmic by menstruation. Ultrasonography of the soft tissues revealed two anterior, heterogeneous hypoechoic nodules with posterior reinforcement. A wide surgery with 1cm of healthy margin allowed the excision of the nodule interesting the subcutaneous tissue and the aponeurosis of the rectus abdominis muscle. The histology was in favour of a focal endometriosis of the abdominal wall extended to the fascia of the rectus muscle. Microscopic examination revealed endometrial glands of variable size, sometimes dilated, bordered by regular cylindrical epithelium, associated with a cytogenic chorion and lymphocytic inflammation, sometimes with blood. Immediate postoperative outcomes were simple. An LHRH analogue protocol (Leuprolide acetate 3.75 mg in one intramuscular injection every 28 days for 6 months) was instituted. Conclusion: Although exceptional, it is appropriate to think of an endometriosis before an abdominal pain syndrome abdominal wall of the woman during periods of genital activity. VL - 8 IS - 1 ER - Author Information Copyright © 2012 -- 2026 Science Publishing Group – All rights reserved.