Uncommon presentation of an abdominal wall tumor

Matias Vega, Nina Reithofer, Luca Giulini, Zoltán Tihanyi, Siegfried Sauseng, Sabine Gabor, Thomas Niernberger, Peter Kornprat
In: European Surgery · 2025 · vol. 57(3) , pp. 128–130 · doi:10.1007/s10353-025-00859-0 · W4408033082
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-13 ⓘ

This case report describes a 47-year-old woman with a rare presentation of abdominal wall endometriosis as a painful, progressively enlarging mass associated with her menstrual cycle.

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This paper describes abdominal wall endometriosis (AWE) as a rare ectopic endometrial-tissue condition and reports a case of a 47-year-old woman with a four-year history of a painful, progressively enlarging lower abdominal mass whose pain worsened with menses. The authors used a case-report format to characterize this uncommon presentation, with the clinical course emphasizing cyclical pain and tumor-like growth. A key limitation is that the report provides only single-patient observational evidence and does not offer broader population-level analysis of diagnosis or treatment outcomes. This paper is centrally about endometriosis — it reports an uncommon presentation of abdominal wall endometriosis.

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Summary Abdominal wall endometriosis (AWE) is a rare condition characterized by the precense of ectopic endometrial tissue in any segment of the abdominal wall, often associated with prior surgical interventions such as cesarean sections. We report a case of 47-year-old woman who presented with a four-year history of a painful, progressively enlarging mass on her lower abdomen, with pain exacerbated by her menstrual cycle. Similar content being viewed by others Change history 30 March 2025 The original online version of this article was revised: The authorship was given in the wrong order. 23 April 2025 A Correction to this paper has been published: https://doi.org/10.1007/s10353-025-00868-z References Zondervan KT, Becker CM, Koga K, et al. Endometriosis. Nat Rev Dis Primers. 2018;4:9. Carsote M, Terzea DC, Valea A, Gheorghisan-Galateanu AA. Abdominal wall endometriosis (a narrative review). Int J Med Sci. 2020;17(4):536–42. https://doi.org/10.7150/ijms.38679. Tangri MK, Lele P, Bal H, Tewari R, Majhi D. Scar endometriosis: a series of 3 cases. Med J Armed Forces India. 2016;72(1):S185–S8. Nominato NS, Prates LF, Lauar I, Morais J, Maia L, Geber S. Caesarean section greatly increases risk of scar endometriosis. Eur J Obstet Gynecol Reprod Biol. 2010;152(1):83–5. Vellido-Cotelo R, Muñoz-González JL, Oliver-Pérez MR, et al. Endometriosis node in gynaecologic scars: a study of 17 patients and the diagnostic considerations in clinical experience in tertiary care center. BMC Womens Health. 2015;15:13. Picod G, Boulanger L, Bounoua F, Leduc F, Duval G. Endométriose pariétale sur cicatrice de césarienne: à propos de 15 cas. Gynécologie Obstétrique Fertilité. 2006;34(1):8–13. Roi DP, Schamroth JL, Khalid L, Sahu A. Scar endometriosis: a mimic of acute abdominal emergencies. BJR Case Rep. 2017;3(3):20170019. Lopez-Soto A, Sanchez-Zapata MI, Martinez-Cendan JP, Ortiz RS, Bernal Mañas CM, Remezal Solano M. Cutaneous endometriosis: presentation of 33 cases and literature review. Eur J Obstet Gynecol Reprod Biol. 2018;221:58–63. Menon M, TA S, Chandrika PN, Selvakumar A. Skin to serosa: scar endometrioma. J Clin Diagn Res. 2014;8(10):OD4–OD5. Yarmish G, Sala E, Goldman DA, et al. Abdominal wall endometriosis: differentiation from other masses using CT features. Abdom Radiol. 2017;42(5):1517–23. Rakawa T, Hirata T, Koga K, Neriishi K, Fukuda S, Ma S, Sun H, Nagashima N, Harada M, Hirota Y, Wada-Hiraike O, Fujii T, & Osuga Y. Clinical aspects and management of inguinal endometriosis: A case series of 20 patients. https://doi.org/10.1111/jog.14059. Simsir A, Thorner K, Waisman J, Cangiarella J. Endometriosis in abdominal scars: a report of three cases diagnosed by fine-needle aspiration biopsy. Am Surg. 2001;67(10):984–6. Khan Z, Zanfagnin V, El-Nashar SA, Famuyide AO, Daftary GS, Hopkins MR. Risk factors, clinical presentation, and outcomes for abdominal wall Endometriosis. J Minim Invasive Gynecol. 2017;24(3):478–84. Xiao-Ying Z, Hua D, Jin-Juan W, et al. Clinical analysis of high-intensity focused ultrasound ablation for abdominal wall endometriosis: a 4-year experience at a specialty gynecological institution. Int J Hyperthermia. 2018;36(1):87–94. Ceccaroni M, Bounous VE, Clarizia R, Mautone D, Mabrouk M. Recurrent endometriosis: a battle against an unknown enemy. Eur J Contracept Reprod Health Care. 2019; 1–11. Kim SJ, Choi SH, Won S, et al. Cumulative recurrence rate and risk factors for recurrent abdominal wall endometriosis after surgical treatment in a single institution. Yonsei Med J. 2022;63(5):446–51. Author information Authors and Affiliations Corresponding author Ethics declarations Conflict of interest M. Vega, N. Reithofer, Z. Tihanyi, S. Sauseng, S. Gabor, T. Niernberger, P. Kornprat, and L. Giulini declare that they have no competing interests. Ethical standards Informed consent was obtained from the patient for being included in the study. Additional information Publisher’s Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Rights and permissions About this article Cite this article Vega, M., Reithofer, N., Giulini, L. et al. Uncommon presentation of an abdominal wall tumor. Eur Surg 57, 128–130 (2025). https://doi.org/10.1007/s10353-025-00859-0 Received: Accepted: Published: Version of record: Issue date: DOI: https://doi.org/10.1007/s10353-025-00859-0

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