Endometrioma in abdominal scars: case reports of four cases and review of the literature

Ahmet Uysal, Uysal A, Mun S, Semih Mun, Cüneyt Eftal Taner, Taner CE
Archives of gynecology and obstetrics · 2012 · doi:10.1007/s00404-012-2320-8 · PMID:22476380
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This paper presents four case reports and a literature review on endometriosis occurring in abdominal scars.

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This paper reports four additional case reports of endometriomas occurring in abdominal scars and provides a review of the related literature on scar endometriosis. The authors describe clinical presentation and diagnostic/imaging and/or cytologic evaluation as reported in their cases, and they synthesize prior case series and reports to summarize how abdominal wall endometriosis near surgical scars has been characterized. A key limitation is that the evidence base is composed primarily of case reports and heterogeneous literature without a controlled comparative design. This paper is centrally about endometriosis — it focuses on endometriomas arising in abdominal scars and reviews the literature on scar endometriosis.

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References Francica G, Giardiello C, Angelone G, Cristiano S, Finelli R, Tramontano G (2003) Abdominal wall endometriosis near cesarean delivery scars. J Ultrasound Med 22:1041–1047 Agarwal A, Fong YF (2008) Cutaneous endometriosis. Singapore Med J 49:704–709 Pathan SK, Kapila K, Haji BE, Mallik MK, Al-Ansary TA, George SS et al (2005) Cytomorphological spectrum in scar endometriosis: a study of eight cases. Cytopathology 16:94–99 Catalina-Fernández I, López-Presa D, Sáenz-Santamaria J (2007) Fine needle aspiration cytology in cutaneous and subcutaneous endometriosis. Acta Cytol 51:380–384 Fulciniti F, Caleo A, Lepora M, Fortunato A, Vetrani A, Palombini L (2005) Fine needle aspiration cytology of endometriosis: experience with 10 cases. Acta Cytol 49:495–499 Blanco RG, Parithivel VS, Shah AK, Gumbs MA, Schein M, Gerst PH (2003) Abdominal wall endometriomas. Am J Surg 185:596–598 Horton JD, Dezee KJ, Ahnfeldt EP, Wagner M (2008) Abdominal wall endometriosis: a surgeon’s perspective and review of 445 cases. Am J Surg 196:207–212 Vilarino FL (2011) Surgical scar endometriosis: a series of 42 patients. Rev Bras Ginecol Obstet. 33:123–127 Pikoulis E, Karavokiros J, Veltsista K (2011) Abdominal scar endometriosis after caesarean section: report of five cases. West Indian Med J 60:351–353 Cinardi N, Franco S, Centonze D, Giannone G (2011) Perineal scar endometriosis 10 years after Miles’ procedure for rectal cancer: case report and review of the literature. Int J Surg Case Rep 2:150–153 Matsuzaki S, Darcha C (2012) Epithelial to mesenchymal transition-like and mesenchymal to epithelial transition-like processes might be involved in the pathogenesis of pelvic endometriosis. Hum Reprod 27:712–721 Pikoulis E, Karavokiros J, Veltsista K, Diamantis T, Griniatsos J, Basios N et al (2011) Abdominal scar endometriosis after caesarean section: report of five cases. West Indian Med J 60:351–353 Demir B, Senerbahce Z, Guzel AI, Demir S, Kilinc N (2011) Abdominal wall endometriosis following cesarean section: report of five cases. Clin Exp Obstet Gynecol 38:288–290 Blanco RG, Parithivel VS, Shah AK, Gumbs MA, Schein M, Gerst PH (2003) Abdominal wall endometriomas. Am J Surg 185:596–598 Nirula R, Greaney GC (2000) Incisional endometriosis: an underappreciated diagnosis in general surgery. J Am Coll Surg 190:404–407 Da Ines D, Bourdel N, Charpy C, Montoriol PF, Petitcolin V, Canis M et al (2011) Mixed endometrioid and serous carcinoma developing in abdominal wall endometriosis following Cesarean section. Acta Radiol 52:587–590 Suleiman S, Johnston DE (2001) The abdominal wall: an overlooked source of pain. Am Fam Physician 64:431–438 Savelli L, Manuzzi L, Donato ND, Salfi N, Trivella G, Ceccaroni M (2011) Endometriosis of the abdominal wall: ultrasonographic and doppler characteristics. Ultrasound Obstet Gynecol 26:132. doi:10.1002/uog.10052 Busard MP, Mijatovic V, van Kuijk C, Hompes PG, van Waesberghe JH (2010) Appearance of abdominal wall endometriosis on MR imaging. Eur Radiol 20:1267–1276 Matsuo K, Alonsozana EL, Eno ML, Rosenshein NB, Im DD (2009) Primary peritoneal clear cell adenocarcinoma arising in previous abdominal scar for endometriosis surgery. Arch Gynecol Obstet 280:637–641 Conflict of interest We declare that we have no conflict of interest. Author information Authors and Affiliations Corresponding author Rights and permissions About this article Cite this article Uysal, A., Mun, S. & Taner, C.E. Endometrioma in abdominal scars: case reports of four cases and review of the literature. Arch Gynecol Obstet 286, 805–808 (2012). https://doi.org/10.1007/s00404-012-2320-8 Received: Accepted: Published: Issue date: DOI: https://doi.org/10.1007/s00404-012-2320-8

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Condition tags

endometriosisendometrioma

MeSH descriptors

Abdominal Wall Cicatrix Endometriosis Postoperative Complications Abdominal Wall Adult Cesarean Section Cesarean Section Cicatrix Endometriosis Female Humans Laparoscopy Laparoscopy Postoperative Complications Postoperative Complications

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