Abdominal wall endometriosis: a case report

Stefanos K Stefanou, Kostas Tepelenis, Christos K Stefanou, George Pappas‐Gogos, George Gogos-Pappas, Christos Tsalikidis, Konstantinos Vlachos
Journal of surgical case reports · 2021 · vol. 2021(4) , pp. rjab055 · doi:10.1093/jscr/rjab055 · PMID:33854758 · PMC8024042 · W3144436253
article OA: gold CC0 ⤵ 4 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This case report describes a 48-year-old female with recurrent abdominal wall endometriosis presenting with pain and a mass, highlighting the importance of surgical history and imaging for diagnosis and wide local excision for treatment.

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Abstract

Abdominal wall endometriosis has an incidence of 0.3-1% of extrapelvic disease. Α 48-year-old female appeared in the emergency department with cellulitis in a lower midline incision. She had an endometrioma of the anterior abdominal wall removed 2 years ago. After 5 months, she underwent an open repair of an incisional hernia with a propylene mesh, which was unfortunately infected and removed 1 month later. Finally, in July 2019, she had her incisional hernia repaired with a biological mesh. Imaging modalities revealed a large mass below the umbilicus. Mass was punctured under ultrasound guidance. Cytology reported the recurrence of endometriosis. Pain and abdominal mass associating with menses were the two most typical symptoms. Wide local excision of the mass with at least 1 cm negative margins is the preferred treatment. Surgeons should maintain a high suspicion of the disease in reproductive women with circular pain, palpable abdominal mass and history of uterine-relating surgery.

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Condition tags

endometriosisendometrioma

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.

References (10)

Cited by (4)

SciLite annotations

chemicals 3
ethylene releasers polyester polymer vancomycin

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