Abdominal wall endometrioma: case report and review

Gabriel A, Allen Gabriel, Jaimie T Shores, Shores JT, Mark Poblete, Poblete M, Victorio A, Anthony Victorio, Subhas Gupta, Gupta S
Annals of plastic surgery · 2007 · doi:10.1097/01.sap.0000245124.53765.69 · PMID:17522498
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This case report describes a patient with an abdominal wall endometrioma who achieved symptomatic cure following resection of the lesion along with the abdominal panniculus.

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This case report describes a patient with chronic, cyclical abdominal wall pain following gynecologic surgery who was diagnosed with an abdominal wall endometrioma. The medical team performed a resection of the lesion along with the abdominal panniculus, which successfully resolved the patient's symptoms. The authors emphasize that plastic surgeons should maintain a high index of suspicion for this condition when evaluating patients with similar histories of pelvic or abdominal procedures. This paper is centrally about endometriosis — specifically focusing on the rare presentation of abdominal wall endometriomas as a cause of post-surgical pain.

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Abstract

Women with chronic, cyclical abdominal wall pain after gynecologic surgery may present in the plastic surgeon's office requesting body contouring. We present one such case in which an abdominal wall endometrioma was found. Resection of the endometrioma with the abdominal panniculus resulted in symptomatic cure for the patient. Plastic surgeons should be aware of the association of endometriosis with chronic pelvic/abdominal pain. Furthermore, suspicion of abdominal wall endometrioma should be entertained when patients present with chronic intermittent or cyclical abdominal wall pain after surgery of the pelvis or abdomen, especially after gynecologic or obstetric procedures.
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Case Report Abdominal Wall Endometrioma Case Report and Review - Allen Gabriel - Jaimie T. Shores - Mark Poblete - Anthony Victorio - Subhas Gupta Abstract: Women with chronic, cyclical abdominal wall pain after gynecologic surgery may present in the plastic surgeon's office requesting body contouring. We present one such case in which an abdominal wall endometrioma was found. Resection of the endometrioma with the abdominal panniculus resulted in symptomatic cure for the patient. Plastic surgeons should be aware of the association of endometriosis with chronic pelvic/abdominal pain. Furthermore, suspicion of abdominal wall endometrioma should be entertained when patients present with chronic intermittent or cyclical abdominal wall pain after surgery of the pelvis or abdomen, especially after gynecologic or obstetric procedures. Copyright © 2007 Lippincott Williams & Wilkins, Inc.

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Condition tags

endometriosisendometrioma

MeSH descriptors

Abdominal Wall Endometriosis Plastic Surgery Procedures Uterine Diseases Abdominal Wall Adult Chronic Disease Endometriosis Endometriosis Endometriosis Female Humans Pain Pain Plastic Surgery Procedures Recurrence Uterine Diseases Uterine Diseases Uterine Diseases

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