The importance of extragenital endometriosis for surgeons

Hüseyin Esin, Cem Karaalı, Can Arıcan, Tayfun Kaya, Mehmet Üstün, Gülden Dınız, Cengiz Aydın, Mustafa Emiroğlu
In: The Journal of Tepecik Education and Research Hospital · 2018 · doi:10.5222/terh.2018.68926 · W2905844520
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⚙ AI-generated summary by claude@2026-06, 2026-06-12 ⓘ

This study describes extragenital endometriosis in 16 patients treated in a General Surgery Clinic, noting most were premenopausal women with masses near cesarean scars.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-12 · read from full text ⓘ

This retrospective study analyzed 16 patients treated in a general surgery clinic for extragenital (extrapelvic) endometriosis between January 2010 and January 2017, collecting demographic data, symptoms, exam findings, and endometriosis localizations. The most common presentation was a palpable abdominal wall mass (15/16), often with cyclic pain (12/16), and 81.25% of lesions were located near a cesarean section scar; the mean mass diameter was 39.5 mm, and recurrence was observed in 1 patient over a mean 43-month follow-up. The authors’ main limitation is that the data are retrospective and based on a small, single-clinic series, which limits generalizability. This paper is centrally about endometriosis — specifically extragenital/extrapelvic endometriosis near cesarean scars in general surgery patients.

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Abstract

Objective: In this study, the characteristics of patients who were treated in our General Surgery Clinic with extragenital endometriosis are described. In addition, increasing the awareness of clinicians to these rare situations.is aimed. Methods: Patients who were operated in General Surgery Clinic between January 2010 and January 2017 were included in the study. The data of the patients were retrospectively analyzed from their files. Demographic data, anamnesis and physical examination findings, localizations, and number of endometriomas with endometriosis were recorded. Results: Sixteen patients who met the study criteria were included in the study. The mean age of the patients was 32.86.9 (min-max: 21-44) years and 14 (87.5%) patients were premenopausal women while all cases had undergone at least one or more than one cesarean sections The most frequent symptom was palpable mass (n=15) and followed by cyclic pain (n=12). Extragenital endometriomas were located close to the cesarean section scar in 13 (81.25%), on umbilical region in two and inguinal region in one patient. The mean diameter of the masses was 39.518.1 mm (min-max: 10-75 mm). The mean follow-up period of the patients was 43 months (range: 18-79 months). During the follow-up period, recurrence was detected in one patient. Conclusion: Extrapelvic endometrioma should be suspected in the differential diagnosis in patients who had undergone gynecologic or obstetric surgery and had a mass lesion developed on the abdominal wall regardless of the presence of cyclic pain.
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Abstract

INTRODUCTION In this study, the characteristics of patients who were treated in our General Surgery Clinic with extragenital endometriosis are classified. The aim is to increase the awareness of clinicians to these rare situations.

Methods

Patients who were operated in General Surgery Clinic between January 2010 and January 2017 were analysed in the study. The data files were examined retrospectively. Demographic data, anamnesis and physical examination findings, endometriosis localizations and numbers were recorded.

Results

Sixteen patients who met the study criteria were included in the study. The mean age of the patients was 32.8 ± 6.9 (min-max: 21-44) and 14 (87.5%) patients were premenopausal while all cases had at least one or more cesarean sections applied. The most frequent symptom was palpable mass (n = 15) and the second most frequent was cyclic pain (n = 12). Extragenital endometriomas were located close to the cesarean section scar in 13 (81.25%) patients, umbilical in two patients, and inguinal in one patient. The mean diameter of the masses was 39.5 ± 18.1 mm (min-max: 10-75 mm). The mean follow-up period of the patients was 43 months (range: 18-79 months). During the follow-up period, recurrens were detected in one patient.

Discussion

AND CONCLUSION Extrapelvic endometrioma should be suspected in patients with gynecologic or obstetric surgery and mass in the abdominal wall in differential diagnosis regardless from the occurance of cyclic pain.

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endometriosisendometrioma

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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.

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