Scar Endometriosis in the Abdominal Wall: a Predictable Condition for Experienced Surgeons

Sami Akbulut, S Akbulut, Mert Mahsuni Sevinç, M Mahsuni Sevinc, S Bakir, Sait Bakır, Bahri Çakabay, B Cakabay, Arsenal Sezgin, A Sezgin
Acta chirurgica Belgica · 2010 · vol. 110(3) , pp. 303–307 · doi:10.1080/00015458.2010.11680621 · PMID:20690511 · W1559532452
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This retrospective study analyzed 15 patients with abdominal wall scar endometriosis, finding that incisional endometriomas should be considered in patients with postoperative incision pain and a palpable mass.

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Abstract

PURPOSE: Endometriosis in surgical scars develops in 0.1% of those women who undergo Caesarean section or other obstetric surgery. Herein we analyse and discuss the clinico-pathological characteristics of 15 patients with scar endometriosis in the abdominal wall. METHODS: Fifteen cases of scar endometriosis in the abdominal wall that were treated surgically in our department between 2003 and 2009 were examined retrospectively. Age, parity, complaint, medical or surgical history, pre/postoperative hormonotherapy, size of the mass, surgical procedure, follow-up and disease recurrence were analysed. RESULTS: This retrospective study included 15 patients presenting with 17 postoperative abdominal wall masses. The mean age of the patients was 32.1 +/- 6.0 years (range, 23-48). Eleven of the patients had a painful mass that became bigger before menstruation, two had palpable masses only, and two were hospitalised because of a mass with persistent pain. The locations of the masses were as follows: eight were close to the right side and three were close to the left side; two were in the middle of the Pfanenstiel incision and two were in trocar tracts. The patients' surgical histories included Caesarean section in thirteen, bilateral laparoscopic ovarian cyst excision in one, and laparoscopic appendectomy in one. CONCLUSIONS: If a patient presents with incision pain and a palpable mass after gynaecologic surgery, an incisional endometrioma should be considered. Surgical excision and hormone therapy are effective treatment approaches in these patients.

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Condition tags

endometriosisendometrioma

MeSH descriptors

Abdominal Wall Abdominal Wall Cicatrix Endometriosis Endometriosis Postoperative Complications Adult Appendectomy Buserelin Buserelin Cesarean Section Cicatrix Cicatrix Contraceptives, Oral Contraceptives, Oral Danazol Danazol Endometriosis Endometriosis Estrogen Antagonists

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Cited by (36)

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License: CC0 · commercial use OK