Abdominal wall endometriosis: a case report and review of literature

Kshitij Manerikar, Gurjit Singh, Rishikesh Kore, Mackson Nongmaithem
In: International Surgery Journal · 2016 · pp. 995–997 · doi:10.18203/2349-2902.isj20161186 · W2344690007
article OA: diamond CC0 ⤵ 3 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This case report details a 24-year-old female with a painful nodule diagnosed as abdominal wall endometriosis through histopathological examination following surgical excision.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 · read from full text ⓘ

This paper presents a single case of abdominal wall (scar/spontaneous) endometriosis in a 24-year-old woman with a painful nodule in the right iliac fossa, including a review of the literature. Using a high-level diagnostic approach discussed in the article—such as clinical evaluation, fine needle aspiration cytology or biopsy, and imaging (ultrasonography, CT, or MRI)—the authors emphasize that these lesions are rare and are often misdiagnosed, with symptoms that may or may not correlate with menstruation. The key finding is that surgical excision of the nodule, followed by histopathological examination, confirmed abdominal wall endometriosis. The paper’s main limitation is that it is a case report and literature review, not an original study designed to establish diagnostic performance or outcomes. This paper is centrally about endometriosis — it specifically reports and reviews abdominal wall endometriosis and highlights the diagnostic dilemma.

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Abstract

Spontaneous abdominal wall endometriosis or scar endometriosis is rare clinical entity and often misdiagnosed. Patients can present with painful lump or nodule over abdominal wall which can be adjacent to previous scar or at independent location. Symptoms can be associated with cyclic menstruation or without any relation to it. Different available modalities for diagnosis are Fine needle aspiration cytology and biopsy, ultrasonography of abdomen and pelvis, computed tomography and magnetic resonance image. Most accepted treatment modality is surgical exicision. Aim of this case report is to highlight the diagnostic dilemma present in this clinical entity. In our case 24 year old female presented with painful nodule in right iliac fossa. Excision of nodule was performed and specimen was sent for Histopathological examination, which revealed the diagnosis of abdominal wall endometriosis.
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Abdominal wall endometriosis: a case report and review of literature DOI: https://doi.org/10.18203/2349-2902.isj20161186Keywords: Surgery, Abdominal wall, Caesarean section, Endometriosis, Endometrium, Muscle, Stromal cellsAbstract Spontaneous abdominal wall endometriosis or scar endometriosis is rare clinical entity and often misdiagnosed. Patients can present with painful lump or nodule over abdominal wall which can be adjacent to previous scar or at independent location. Symptoms can be associated with cyclic menstruation or without any relation to it. Different available modalities for diagnosis are Fine needle aspiration cytology and biopsy, ultrasonography of abdomen and pelvis, computed tomography and magnetic resonance image. Most accepted treatment modality is surgical exicision. Aim of this case report is to highlight the diagnostic dilemma present in this clinical entity. In our case 24 year old female presented with painful nodule in right iliac fossa. Excision of nodule was performed and specimen was sent for Histopathological examination, which revealed the diagnosis of abdominal wall endometriosis.

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Condition tags

endometriosis

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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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