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by qwen3.7-flash, 2026-09-24
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This case report describes the management of a 37-year-old female with abdominal wall endometriosis, a rare manifestation involving endometriotic infiltration into the abdominal musculature. The patient presented with severe pain and distension following multiple prior surgeries, leading to the identification of a large mass in the left rectus muscle confirmed by histopathology. Treatment involved wide surgical resection followed by complex abdominal wall reconstruction using mesh, which resulted in uneventful recovery and significant symptom relief. This paper is centrally about endometriosis — specifically the surgical treatment and reconstruction required for deep infiltrating abdominal wall endometriosis.
Abstract
Background Abdominal wall endometriosis (AWE) is a rare manifestation of endometriosis characterized by the infiltration of endometriotic tissue into the abdominal wall. We present a case report of a 37-year-old female patient with a history of three previous cesarean sections and an appendectomy who developed symptoms of intense abdominal pain and distension. Imaging studies revealed a large intercompartmental mass in the left anterior rectus muscle, and subsequent histopathological examination confirmed the presence of endometrial tissue. The patient underwent surgical resection of the mass, which required a complex abdominal wall repair using a mesh. The postoperative period was uneventful, and the patient experienced a significant improvement in symptoms and overall quality of life. This case highlights the challenges posed by AWE and the importance of accurate diagnosis and appropriate management. Wide surgical resection, although the traditional approach, can be associated with additional operative trauma. In this case, a multidisciplinary treatment approach was employed, involving surgical resection and meticulous reconstruction of the abdominal wall. The successful outcome demonstrates the efficacy of this approach in relieving symptoms and improving patient well-being. Further research is needed to enhance our understanding of AWE and to optimize treatment strategies for this complex condition.
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Surgical reconstruction of the abdominal wall after large abdominal wall endometrioma resection. A case report
Description
Background
Abdominal wall endometriosis (AWE) is a rare manifestation of endometriosis characterized by the infiltration of endometriotic tissue into the abdominal wall. We present a case report of a 37-year-old female patient with a history of three previous cesarean sections and an appendectomy who developed symptoms of intense abdominal pain and distension. Imaging studies revealed a large intercompartmental mass in the left anterior rectus muscle, and subsequent histopathological examination confirmed the presence of endometrial tissue. The patient underwent surgical resection of the mass, which required a complex abdominal wall repair using a mesh. The postoperative period was uneventful, and the patient experienced a significant improvement in symptoms and overall quality of life.
This case highlights the challenges posed by AWE and the importance of accurate diagnosis and appropriate management. Wide surgical resection, although the traditional approach, can be associated with additional operative trauma. In this case, a multidisciplinary treatment approach was employed, involving surgical resection and meticulous reconstruction of the abdominal wall. The successful outcome demonstrates the efficacy of this approach in relieving symptoms and improving patient well-being. Further research is needed to enhance our understanding of AWE and to optimize treatment strategies for this complex condition.
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