Endometrioma of the Abdominal Wall Following Combined Abdominoplasty and Hysterectomy

Matthes G, G. Matthes, Zabel DD, David D. Zabel, D D Zabel, Chet Nastala, C L Nastala, Nastala CL, K C Shestak, Shestak KC, Kenneth C. Shestak
Annals of plastic surgery · 1998 · vol. 40(6) , pp. 672–675 · doi:10.1097/00000637-199806000-00019 · PMID:9641291 · W2020322437
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-08 ⓘ

This paper reports a case of abdominal wall endometrioma occurring in a scar five years after a combined hysterectomy and abdominoplasty and outlines diagnostic and surgical management.

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This case report describes a patient who developed an endometrioma in her abdominal wall scar five years after undergoing a combined hysterectomy and abdominoplasty. The authors review existing literature to outline current diagnostic approaches and recommend surgical excision as the primary management strategy for this rare complication. They emphasize that iatrogenic implantation of endometrial tissue during pelvic surgery can lead to late-presenting extra-pelvic disease. This paper is centrally about endometriosis — specifically, it documents an unusual instance of abdominal wall endometrioma resulting from surgical seeding during hysterectomy.

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Abstract

An unusual case is reported of abdominal wall endometrioma presenting in a lower abdominal scar following a combined hysterectomy and abdominoplasty performed 5 years earlier. Current diagnostic methods and recommended surgical management are outlined.
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Case Report: PDF Only Endometrioma of the Abdominal Wall Following Combined Abdominoplasty and Hysterectomy Case Report and Review of the Literature - Gerrit Matthes - David D. Zabel - Chet L. Nastala - Kenneth C. Shestak Annals of Plastic Surgery 40(6):p 672-675, June 1998. An unusual case is reported of abdominal wall endometrioma presenting in a lower abdominal scar following a combined hysterectomy and abdominoplasty performed 5 years earlier. Current diagnostic methods and recommended surgical management are outlined. Copyright © Williams & Wilkins 1998. All Rights Reserved.

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Condition tags

endometriosisendometrioma

MeSH descriptors

Abdominal Muscles Endometriosis Hysterectomy Lipectomy Postoperative Complications Adult Cicatrix Endometriosis Endometriosis Female Humans Uterine Hemorrhage Uterine Hemorrhage

Citation neighborhood

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.

Cited by (33)

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License: CC0 · commercial use OK