Abdominal Wall Endometriosis: Four Cases Presentation and Literature Review

Abdominal wall endometriosis is a very rare site for extragenital endometriosis. We present 4 cases diagnosed and treated in two gynecological services of IaE™i, Romania, and we review the literature data on this topic. The endometriotic implant in our cases occurred in the post-cesarean section scar, and was diagnosed after 1-4 years from the intervention. The main symptom was local pain (in 2 cases with a cyclical pattern). The initial diagnostic was endometriosis in 3 cases, and granuloma in one case. The ultrasound adequately described the situation and the consistency of the tumor in 2 cases. The treatment was surgical excision, and the post-operative evolution was favorable. In conclusion, although a rare disease, endometriosis is accessible for the diagnostic and treatment, being a pathology that both surgeons and gynecological should consider.