Clinical characteristic analysis of 32 patients with abdominal incision endometriosis

Zhaohui Zhu, Z Zhu, Zhu Z, Al-Beiti MA, M A M Al-Beiti, Mariam A. M. AL‐BEITI, Tang L, L. Tang, Lingli Tang, Liu X, X. Liu, X Lu, Lu X, Xin Lu
Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology · 2008 · vol. 28(7) , pp. 742–745 · doi:10.1080/01443610802463744 · PMID:19065373 · W2106096725
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This retrospective study analyzed 32 patients with abdominal incision endometriosis, finding that most cases occurred after cesarean section and presented with a scar mass and cyclical pain, with surgical excision leading to a low recurrence rate.

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Abstract

Medical records of 32 women with abdominal incision endometriosis who underwent surgical treatment in the Obstetrics and Gynaecology Hospital at Fudan University between September 1999 and March 2006 were reviewed retrospectively. All cases concerning the diagnosis of endometriosis were confirmed by two gynaecological pathologists. The median age was 32 years (range from 25 to 45). A total of 31 patients had a history of caesarean section, and one case underwent ovarian endometrioid cystectomy. All abdominal incision endometriosis presented with a mass in the abdominal scar. Among them, there were 30 patients who complained of cyclical pain during menses. All of the 32 cases underwent surgical treatment and had follow-up from 10 months to 6 years; there was no recurrence of endometriosis in 31 cases. Abdominal incision endometriosis is rare in women and most cases present following caesarean section. It is suggested that during caesarean section, precautions need to be taken to avoid transplantation of endometrium into the abdominal incision. Surgical treatment is recommended to excise the lesion completely. The frozen section is performed during the operation due to the possibility of malignancy in abdomen incision endometriosis.

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Condition tags

endometriosis

MeSH descriptors

Abdomen Cesarean Section Endometriosis Abdomen Adult Cesarean Section Cicatrix Cicatrix Cicatrix Endometriosis Endometriosis Endometriosis Female Humans Middle Aged Retrospective Studies

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 (19)

Cited by (21)

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