Abdominal Wall Endometriomas

Amit J Dwivedi, Sujan Narayan Agrawal, Sunita N Agrawal, Yvan J Silva
Digestive diseases and sciences · 2002 · vol. 47(2) , pp. 456–461 · doi:10.1023/a:1013711314870 · PMID:11855568 · W1537477050
review OA: closed CC0 ⤵ 92 in-corpus citations
Full text JSON View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by claude@2026-06+body, 2026-06-10 ⓘ

This retrospective study reviewed twelve cases of abdominal wall endometriomas, mostly secondary to surgery, presenting as painful masses during menstruation, and discusses its importance in differential diagnosis.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

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

This retrospective study examined abdominal wall endometriomas diagnosed at a single institution from March 1992 to April 1999, including a mean patient age of 28.4 years. The authors report that 12 of the cases were secondary to prior surgical procedures and that the most common presentation was an abdominal wall mass with menstrual cycle–related pain, with endometrioma considered in the differential diagnosis for seven patients; all patients underwent surgery. A key limitation is that the study is retrospective and based on case series experience from one institution, with presentation and diagnostic consideration varying across patients. Relevance to endometriosis: the paper specifically focuses on abdominal wall endometriomas, a form of extragenital endometriosis arising in surgical scars, thereby directly informing how this endometriosis subtype can present and be evaluated, even though it is not about adenomyosis.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Full text 4,896 characters · extracted from oa-doi-fallback · 2 sections · click to expand

Abstract

Endometriosis is a condition in which uterine mucosal tissue is located outside the uterus. Endometriosis may be pelvic or extrapelvic. The term endometrioma is used when endometriosis appears as a circumscribed mass. Abdominal wall endometriomas are usually a secondary process in scars after surgical procedures. A retrospective study of abdominal wall endometrioma, from March 1992 through April 1999 at our institution was done. The mean age of the patients was 28.4 years. Twelve of these reported cases were secondary to previous surgery. One patient presented primarily with an abdominal wall mass without previous surgical history. The most common presentation was an abdominal wall mass associated with pain during the menstrual cycle. Endometrioma was considered as a differential diagnosis in seven patients. All patients underwent surgery. Along with the literature review on endometrioma, the importance of considering it in the differential diagnosis for patients of child-bearing age is discussed. Similar content being viewed by others

References

Williams HE, Barsky S, Storino W: Umbilical endometrioma. Arch Dermatol 112:1435–1436, 1976 Steck WD, Helwig EB: Cutaneous endometriosis. Clin Obstet Gynecol 9:373–383, 1966 Healy JT, Wilkinson NW, Sawyer M: Abdominal wall endometrioma in a laparoscopic trocar tract: A case report. Am Surg 61:962–963, 1995 Coley B, Casola G: Incisional endometrioma involving the rectus abdominis muscle and subcutaneous tissues: CT appearance. Am J Roentgenol 160:549–550, 1993 Chatterjee SK: Scar endometriosis: A clinicopathologic study of 17 cases. Obstet Gynecol 56:81–84, 1980 Singh KK, Lessells AM, Adam DJ, Jordan C, Miles WF, Macintyre IM, Greig JD: Presentation of endometriosis to general surgeons: A 10 year experience. Br J Surg 82:1349–1351, 1995 Popoff L, Raitcheu R, Andreev V: Endometriosis of the skin. Arch Dermatol 85:185–187, 1962 Brenner C, Wohlgemuth S: Scar endometriosis. Surg Gynecol Obstet 170:538–540, 1990 Patterson GK, Winburn GB: Abdominal wall endometriomas: Report of eight cases. Am Surg 65:36–39, 1999 Greenhill JP: Scar endometriosis. Am J Obstet Gynecol 44:177–178, 1992 Higginbottom J: Termination of pregnancy by abdominal hysterotomy. Lancet 1:937–938, 1973 Wittich AC: Endometriosis in an episiotomy scar: Review of the literature and report of a case. J Am Osteopath Assoc 82:22–23, 1982 Yackovich FH, Bender GN, Tsuchida AM: Case report: Perianal episiotomy scar endometrioma imaged by CT and sector endoluminal ultrasound. Clin Radiol 49:578–579, 1994 Kaunitz A, Di Sant'Agnese PA: Needle tract amniocentesis: an unusual complication of amniocentesis. Obstet Gynecol 54:753–755, 1979 Firilas A, Soi A, Max M: Abdominal incision endometriomas. Am Surg 60:259–261, 1994 Bergqvist A: Different types of extragenital endometriosis: A review. Gynecol Endocrinol 7:207–221, 1993 Rani PR, Soundararaghavan S, Rajaram P: Endometriosis in abdominal scars: Review of 27 cases. Int J Gynecol Obstet 36:215–218, 1991 Vincent LM, Mittelstradet CA: Sonographic demonstration of endometrioma arising in a cesarean section scar. J Ultrasound Med 4:437–438, 1985 Amato M, Levitt R: Abdominal wall endometrioma: CT findings. J Comput Assisted Tomogr 8:1213–1214, 1984 Chin YY, Perez-Reyes M, Brown JJ: MR appearance of umbilical endometriosis. J Comput Assist Tomogr 18:269–271, 1994 Wolf GC, Kopecky KK: MR imaging of endometriosis arising in cesarean section scar. J Comput Assisted Tomogr 13:150–152, 1989 Griffin JB, Betsill WL: Subcutaneous endometriosis diagnosed by fine needle aspiration cytology. Acta Cytol 29:584–588, 1985 Madsen H, Hansen P, Anderson OP: Case report: Endometrioid carcinoma in an operation scar. Acta Obstet Gynecol Scand 59:475–476, 1980 Kotwall CA, Kirkbride P, Zerafa AE, Murray D: Endometrial cancer and abdominal wound recurrence. Gynecol Oncol 53:357–360, 1994 Kennedy S, Brodribb J, Godfrey AM, Barlow DH: Preoperative treatment of an abdominal wall endometrioma with nafarelin acetate. Br J Obstet Gynecol 95:521–523, 1988 Koskimies AI, Meyer B, Windholm O: Treatment of vaginal endometriosis with danazol. Acta Obstet Gynecol Scand 123:67–68, 1984 Suginami H, Hamada K, Yano K: A case of endometriosis of the lung treated with danazol. Obstet Gynecol 66:68–71, 1985 Purvis RS, Tyring SK: Cutaneous and subcutaneous endometriosis: Surgical and hormonal therapy. J Dermatol Surg Oncol 20:693–695, 1994 Dellon AL, Grodin J, Ketcham AS, Chretien PB: Recurrent abdominal scar endometriosis in a patient with fibrous mandibular neoplasm. Am J Obstet Gynecol 120:849–850, 1974 Author information Authors and Affiliations Rights and permissions About this article Cite this article Dwivedi, A.J., Agrawal, S.N. & Silva, Y.J. Abdominal Wall Endometriomas. Dig Dis Sci 47, 456–461 (2002). https://doi.org/10.1023/A:1013711314870 Issue date: DOI: https://doi.org/10.1023/A:1013711314870

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

⚙ Ask this paper AI returns verbatim quotes from the full text · source: oa-doi-fallback ⓘ

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Condition tags

mesh:D004715

MeSH descriptors

Abdominal Muscles Endometriosis Endometriosis Endometriosis Adult Diagnosis, Differential Female Humans Radiography Retrospective Studies Ultrasonography

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.

References (31)

Cited by (50)

Source provenance

europepmc
last seen: 2026-06-04T01:30:01.192114+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-05-13T22:13:13.417725+00:00
License: CC0 · commercial use OK