Parietal wall endometriosis: a rare case report

Mahija Sahu, Umesh Ray, Bhabani Nayak
In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology · 2015 · vol. 4(2) , pp. 524 · doi:10.5455/2320-1770.ijrcog20150454 · W2135688775
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This case report details the successful surgical excision of a parietal wall endometrioma presenting as cyclical periumbilical pain in a 28-year-old woman.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 · read from full text ⓘ

This paper reports a 28-year-old woman with 1 year of cyclical periumbilical pain and an ultrasound finding suggestive of parietal wall endometriosis, managed surgically during the second day of menstruation. Diagnostic laparoscopy showed no pelvic endometrioma beyond an omental adhesion at the parietal wall endometriosis site, and the lesion was treated with adhesiolysis of the omentum plus mesh repair of a rectus sheath defect. The patient was followed for three postoperative cycles and reported no further cyclical pain. As a single case report, the findings are limited in generalizability. This paper is centrally about endometriosis — specifically rare parietal (abdominal wall) endometriosis presenting as cyclical pain near a prior cesarean scar.

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Abstract

A 28 year old P2L1 with one previous cesarean presented with cyclical pain in periumblical area just below umbilicus for 1 year with USG finding suggestive of parietal wall endometriosis planned for surgery on her 2nd day of menstruation. She underwent diagnostic laparoscopy with complete excision of endometrioma. Diagnostic laparoscopy showed no evidence of endometrioma in the pelvic cavity except for omental adhesion at parietal wall endometrioma site, adhesiolysis of omentum, mesh repair of rectus sheath defect done. She is followed up for last 3 cycles post-operative and has no cyclical pain further.
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Keywords

Cyclical pain, Parietal wall endometriosis, Complete excisionAbstract A 28 year old P2L1 with one previous cesarean presented with cyclical pain in periumblical area just below umbilicus for 1 year with USG finding suggestive of parietal wall endometriosis planned for surgery on her 2nd day of menstruation. She underwent diagnostic laparoscopy with complete excision of endometrioma. Diagnostic laparoscopy showed no evidence of endometrioma in the pelvic cavity except for omental adhesion at parietal wall endometrioma site, adhesiolysis of omentum, mesh repair of rectus sheath defect done. She is followed up for last 3 cycles post-operative and has no cyclical pain further. Metrics

References

Lahiri AK, Sharma K, Busiri N. Endometriosis of the uterine casarean section scar: a case report. Indian J Radiol Imaging. 2008;18:66-8. Pathan SK, Kapila K, Haji BE, Mallik MK, Al-Ansary TA, George SS, et al. Cytomorphological spectrum in scar endometriosis: a study of eight cases. Cytopathology. 2005 Apr;16(2):94-9. Taff L, Jones SJ. Cesarean scar endometriosis: a report of two cases. J Reprod Med. 2002;47(1):50-2. Thapa A, Kumar A, Gupta S. Abdominal wall endometriosis: Report of a case and how much we know about it. Internet J Surg. 2007;9(2):1-2. Goel P, Sood SS, Dalal A. Cesarean scar endometriosis- Report of two cases. Indian J Med Sci. 2005;59:495-8. Gunes M, Kayikcioglu F, Ozturkoglu E, Haberal A. Incisional endometriosis after cesarean section, episiotomy and other gynecologic procedures. J Obstet Gynecol Res. 2005 Oct;31(5):471-5. Dragoumis K, Mikos T, Zafrakas M, Assimakopoulos E, Stamatopoulos P. Endometriotic uterocutaneous fistula after cesarean section. Gynecol Obstet Invest. 2004;57:90-2. Celik M, Bulbuloglu E, Buyukbese MA, Cetinkaya A. Abdominal wall endometrioma: localizing in rectus abdominus sheath. Turk J Med Sci. 2004;34:341-3. Alberto VO, Lynch M, Labbei FN, Jeffers M. Primary abdominal wall clear cell carcinoma arising in a cesarean section scar endometriosis. Ir J Med Sci. 2006;175(1):69-71.

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endometriosisendometrioma

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