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 ⓘ

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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Condition tags

endometriosisendometrioma

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