Abdominal Wall Endometriosis: A Diagnostic Dilemma for Surgeons

Ahmet Kocakusak, Ahmet Kocakuşak, Kocakusak A, Esra Arpinar, Arpinar E, Soykan Arikan, Arikan S, Soykan Arıkan, Nilgün Demirbağ, Demirbag N, Nilgun Demirbag, Tarlaci A, Ahmet Tarlaci, Kabaca C, Canan Kabaca
Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2005 · vol. 14(6) , pp. 434–437 · doi:10.1159/000088118 · PMID:16220019 · W2075839780
article OA: bronze CC0 ⤵ 39 in-corpus citations
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This paper describes three cases of abdominal wall endometriosis where diagnosis was only confirmed by histology, highlighting its potential to be mistaken for hernias or hematomas and suggesting it be considered in differential diagnoses of abdominal wall masses.

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Abstract

OBJECTIVE: To report 3 cases of endometriosis of the abdominal wall, a disease which is unfamiliar to general surgeons because of the potential pitfalls in its diagnosis. CLINICAL PRESENTATION AND INTERVENTION: Three patients were referred to our general surgery clinic for abdominal masses. Incisional hernia and an abdominal mass were initially suspected in 2 patients, while a preoperative diagnosis of a rectus abdominis hematoma was made in the third because she had no history of previous surgery. Pain was a remarkable complaint in only one of the present cases. Abdominal wall endometriosis was diagnosed only upon histological examination postoperatively. In all cases, ultrasonography revealed hypoechogenic masses, and computed tomography showed that these masses had spiculations, and macroscopic views of the resected masses revealed well-demarcated margins without peritoneal involvement. All patients were treated with wide radical resections followed by polytetrafluoroethylene patch grafting. They were discharged from hospital on either the 2nd or the 3rd postoperative day uneventfully, and during follow-up there were no signs of pelvic endometriosis, as confirmed by ultrasonography, CA 125 measurement, gynecological consultation and examination. CONCLUSION: Since the diagnosis of scar endometrioma is rarely established prior to surgery, endometriosis should be included in the differential diagnosis of masses on the abdominal wall.

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Condition tags

endometriosisendometrioma

MeSH descriptors

Endometriosis Muscular Diseases Rectus Abdominis Adult Diagnosis, Differential Endometriosis Endometriosis Endometriosis Female Humans Muscular Diseases Muscular Diseases Muscular Diseases

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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