Symptomatic endometriosis of rectus abdominis muscle in a patient with uterus didelphys

Yavuz Emre Şükür, Murat Gözüküçük, Korhan Kahraman, Şerife Esra Çetinkaya, Murat Sönmezer
In: Journal of Turkish Society of Obstetric and Gynecology · 2012 · vol. 9(1) , pp. 80–83 · doi:10.5505/tjod.2012.06641 · W2157608768
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

A painful 4x5 cm rectus abdominis muscle mass, suspected to be endometriosis in a patient with uterus didelphys, was successfully excised and repaired.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 · read from full text ⓘ

This case report describes a 42-year-old woman with uterus didelphys who presented with a painful rectus abdominis abdominal wall mass measuring about 4×5 cm. Using CT imaging showing contrast-enhanced features, the lesion was excised via median laparotomy below the umbilicus and was treated as rectus abdominis endometriosis, with primary repair and resection intended to remove all tissue. The authors emphasize that abdominal wall endometriosis is rare and should be considered in the differential diagnosis of abdominal wall masses, and note that atypical locations require careful complete excision to reduce recurrence. This paper is centrally about endometriosis — it reports symptomatic rectus abdominis muscle endometriosis in a patient with uterus didelphys.

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Abstract

Background: Endometriosis of the rectus abdominis muscle is a very rare event and it should be kept in mind in the differential diagnosis of women with abdominal wall mass. Case: 42 year-old G2 P2 patient with uterus didelphis was referred with a painful abdominal wall mass of approximately 4x5 cm size. The mass that has contrast matter enhancement on CT was excised with median laparotomy below the umbilicus. The mass which was thought as endometriosis was excised without remaining any pieces to prevent recurrence and primarily repaired. Discussion: Along with the increasing incidence due to increased cessarean rates the endometrial wall endometriosis is an important diagnosis that should not be omitted. The treatment is surgical resection and to we should take care not to leave any pieces to prevent recurrence especially when it is located atypically.
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Abstract

Background: Endometriosis of the rectus abdominis muscle is a very rare event and it should be kept in mind in the differential diagnosis of women with abdominal wall mass. Case: 42 year-old G2 P2 patient with uterus didelphis was referred with a painful abdominal wall mass of approximately 4x5 cm size. The mass that has contrast matter enhancement on CT was excised with median laparotomy below the umbilicus. The mass which was thought as endometriosis was excised without remaining any pieces to prevent recurrence and primarily repaired.

Discussion

Along with the increasing incidence due to increased cessarean rates the endometrial wall endometriosis is an important diagnosis that should not be omitted. The treatment is surgical resection and to we should take care not to leave any pieces to prevent recurrence especially when it is located atypically.

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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.

References (14)

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