Endometriosis of the abdominal wall. A rare, under-recognized entity causing chronic abdominal wall pain

In: Hellenic Journal of Surgery · 2012 · vol. 84(1) , pp. 76–79 · doi:10.1007/s13126-012-0008-y · W1994005906
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This case report describes a 43-year-old woman with chronic abdominal wall pain during menstruation, where clinical suspicion and ultrasound led to surgical confirmation of abdominal wall endometriosis.

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Abstract

Endometriosis is a common gynaecological condition which affects women during their reproductive years. It is characterized by ectopic endometrial tissue responding to hormonal changes associated with menstrual cycle. Aetiology is unknown and symptoms are quite aspecific (dysmenorrhoea, pelvic pain, infertility or pelvic mass). Here we report the case of a 43-year-old woman, who presented with complaints of chronic abdominal wall pain and lower abdominal discomfort during menstruation. Symptoms persisted for more than nine months. Clinical and ultrasound evaluation raised the suspicion of abdominal wall endometriosis; surgical exploration confirmed diagnosis. The patient progressed satisfactorily and is free of symptoms 20 months after surgery. Similar content being viewed by others Abbreviations - CAWP: - Chronic abdominal wall pain - AWE: - abdominal wall endometriosis - CT: - computed tomography - MRI: - magnetic resonance imaging

References

Srinivasan R, Greenbaum DS. Chronic abdominal wall pain: a frequently overlooked problem. Am J Gastroenterol 2002; 97: 824–830 Langdon DE. Abdominal wall pain will be missed until examinations change! Am J Gastroenterol 2002; 1998:3207–3208 Sharpstone D, Colin-Jones DG. Chronic, non-visceral abdominal pain. Gut 1994;35:833–836. Stratton P, Berkley KJ. Chronic pelvic pain and endometriosis: translational evidence of the relationship and implications. Hum Reprod Update. 2011;17(3):327–346. Redwine DB. Diaphragmatic endometriosis: diagnosis, surgical management, and long-term results of treatment. Fertil Steril. 2002;77(2):288–296. Victory R, Diamond MP, Johns DA. Villar’s nodule: a case report and systematic literature review of endometriosis externa of the umbilicus. J Minim Invasive Gynecol. 2007;14(1):23–32. Honoré GM. Extrapelvic endometriosis. Clin Obstet Gynecol. 1999;42(3):699–711. Pasalega M, Mirea C, Vîlcea ID, et al. Parietal abdominal endometriosis following Cesarean section. Rom J Morphol Embryol. 2011;52(1 Suppl):503–508. Accetta I, Accetta P, Accetta AJ, et al. Abdominal wall endometrioma. Rev Col Bras Cir. 2011;38(1):41–44. Rogers PA, D’Hooghe TM, Fazleabas A, Gargett CE, Giudice LC, Montgomery GW, Rombauts L, Salamonsen LA, Zondervan KT. Priorities for endometriosis research: recommendations from an international consensus workshop. Reprod Sci. 2009;16(4):335–346. Petakovic S, Perunicic P, Cuk D, Perineal endometriosis at the site of an episiotomy scar. Med Pregl, 1997;50(3–4):125–127. Ballard K, Lane H, Hudelist G, et al. Can specific pain symptoms help in the diagnosis of endometriosis? A cohort study of women with chronic pelvic pain. Fertil Steril. 2010;94(1):20–27. Joly D, Harden H, Huguet C, Endométriose de la paroi abdominale dans les suites à long terme d’une césarienne. Lyon Chir. 1988;84(2):106–108. Gidwaney R, Badler RL, Yam B, Hines J, Alexeeva V, Katz DS. Endometriosis of Abdominal and Pelvic Wall Scars. AUR 2010 Research Paper Abstracts. http://www.aur.org/Annual_Meeting/upload/AUR-2010-Abstracts.pdf Hensen JH, Van Breda Vriesman AC, Puylaert JB. Abdominal wall endometriosis: clinical presentation and imaging features with emphasis on sonography. JR Am J Roentgenol. 2006;186(3):616–620. Dwivedi AJ, Agrawal SN, Silva YJ. Abdominal wall endometriomas. Dig Dis Sci. 2002;47:456–461. Busard MP, Mijatovic V, van Kuijk C, Hompes PG, van Waesberghe JH Appearance of abdominal wall endometriosis on MR imaging. Eur Radiol. 2010;20(5):1267–1276 Gupta RK. Fine-needle aspiration cytodiagnosis of endometriosis in cesarean section scar and rectus sheath mass lesions—a study of seven cases. Diagn Cytopathol. 2008;36:224–226. Pathan SK, Kapila K, Haji BE, Mallik MK, Al-Ansary TA, George SS, et al. Cytomorphological spectrum in scar endometriosis: a study of eight cases. Cytopathology. 2005;16:94–99 Koger KE, Shatney CH, Hodge K, McClenathan JH. Surgical scar endometrioma. Surg Gynecol Obstet. 1993;177:243–246. Zhao X, Lang J, Leng J, Liu Z, Sun D, Zhu L. Abdominal wall endometriomas. Int J Gynaecol Obstet. 2005;90:218–222. Chiang DT, Teh WT. Cutaneous endometriosis—Surgical presentations of a gynaecological condition. Aust Fam Physician. 2006;35(11):887–888. Sasson IE, Taylor HS. Aromatase inhibitor for treatment of a recurrent abdominal wall endometrioma in a postmenopausal woman. Fertil Steril. 2009;92(3):1170.e1–4. Altan ZM, Denis D, Kagan D, Grund EM, Palmer SS, Nataraja SG. A long-acting tumor necrosis factor alpha-binding protein demonstrates activity in both in vitro and in vivo models of endometriosis. J Pharmacol Exp Ther. 2010;334(2):460–466. Brouha PC, De Lange DW, Broekhuysen CL, et al. Iatrogenic cicatricial endometriosis. Ned Tijdschr Geneeskd. 1997;141(15):740–743. Singh KK, Lessells AM, Adam DJ, et al. Presentation of endometriosis of general surgeons: a 10-year experience. Br J Surg. 1995;82(10):1349–1351 Author information Authors and Affiliations Corresponding author Rights and permissions About this article Cite this article Kontostolis, S.V., Vitsas, A., Boultadakis, E. et al. Endometriosis of the abdominal wall. A rare, under-recognized entity causing chronic abdominal wall pain. Hellenic J Surg 84, 76–79 (2012). https://doi.org/10.1007/s13126-012-0008-y Received: Accepted: Published: Issue date: DOI: https://doi.org/10.1007/s13126-012-0008-y

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