Anterior abdominal wall endometrioma: a diagnostic dilemma

Nilofar Imamhusen Yelurkar, Meena Satia, Ananya Rajendra Deekshit, V. R. Badhwar
In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology · 2019 · vol. 8(12) , pp. 5032 · doi:10.18203/2320-1770.ijrcog20195365 · W2990796205
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This paper reports a rare case of anterior rectus sheath endometrioma that required surgical excision after medical treatment failed.

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Abstract

The presence of functioning endometrium outside the uterine cavity is often encountered in gynaecological practice but an extremely rare entity is its extra pelvic variant is seen sometimes around the umbilicus, anterior rectus sheath vesical region, also rarely seen around the kidney’s nasal mucosa, lungs and the pleura. The incidence of this condition is as low as 0.03% to 0.15%. Endometrioma of the anterior rectus sheath is well documented in literature but because of its rarity may pose a diagnostic dilemma. Reporting herewith a case of anterior rectus sheath endometrioma where medical line of treatment failed and surgical excision was required.
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Anterior abdominal wall endometrioma: a diagnostic dilemma DOI: https://doi.org/10.18203/2320-1770.ijrcog20195365Keywords: Endometrioma, Scar endometriosisAbstract The presence of functioning endometrium outside the uterine cavity is often encountered in gynaecological practice but an extremely rare entity is its extra pelvic variant is seen sometimes around the umbilicus, anterior rectus sheath vesical region, also rarely seen around the kidney’s nasal mucosa, lungs and the pleura. The incidence of this condition is as low as 0.03% to 0.15%. Endometrioma of the anterior rectus sheath is well documented in literature but because of its rarity may pose a diagnostic dilemma. Reporting herewith a case of anterior rectus sheath endometrioma where medical line of treatment failed and surgical excision was required. Metrics References Acién P, Velasco I. Endometriosis: a disease that remains enigmatic. ISRN Obst Gynecol 2013;2013:12. Machairiotis N, Stylianaki A, Dryllis G, Zarogoulidis P, Kouroutou P, Tsiamis N, et al. Extrapelvic endometriosis: a rare entity or an under diagnosed condition?. Diag Pathol. 2013;8(1):194. Blanco RG, Parithivel VS, Shah AK, Gumbs MA, Schein M, Gerst PH. Abdominal wall endometriomas. The Am J Surg. 2003;185(6):596-8. Patterson GK, Winburn GB. Abdominal wall endometriomas: report of eight cases. Am Surg. 1999;65:36-9. Koger KE, Shatney CH, Hodge K, McClenathan JH. Surgical scar endometrioma. Surg Gynecol Obstet. 1993;177:243-6. Seydel AS, Sickel JZ, Warner ED, Sax HC. Extrapelvic endometriosis: diagnosis and treatment. Am J Surg. 1996;171:239-41. Dwivedi AJ, Agrawal SN, Silva YJ. Abdominal wall endometriomas. Dig Dis Sci. 2002;47:456-61. Blanco RG, Parithivel VS, Shah AK, Gumbs MA, Schein M, Gerst PH. Abdominal wall endometriomas. Am J Surg. 2003;185:596-8. Simsir A, Thorner K, Waisman J, Cangiarella J. Endometriosis in abdominal scars: a report of three cases diagnosed by FNA biopsy. Am Surg. 2001;67:984-6. Ideyi SC, Schein M, Niazi M, Gerst PH. Spontaneous endometriosis of the abdominal wall. Dig Sur. 2003;20:246-8. Singh KK, Lessells AM, Adam DJ. Presentation of endometriosis to general surgeons: a 10-year experience. Br J Surg. 1995;82:1349-51. Woodward PJ, Sohaey R, Mezzetti TP. Endometriosis: radiologic-pathologic correlation. Radio-Graph. 2001;21:193-216. Wolf C, Obrist P, Ensinger C. Sonographic features of abdominal wall endometriosis. AJR. 1997;169:916-7. Francica G, Giardiello C, Angelone G, Cristiano S, Finelli R, Tramontano G. Abdominal wall endometriomas near cesarean delivery scars: sonographic and color doppler findings in a series of 12 patients. J Ultrasound Med. 2003;22:1041-7. Coley BD, Casola G. Incisional endometrioma involving the rectus abdominis muscle and subcutaneous tissues: CT appearance. AJR. 1993;160:549-50. Wolf GC, Kopecky KK. MR imaging of endometriosis arising in cesarean section scar. J Comput Assist Tomogr. 1989;13:150-2.

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