ENDOMETRIOSE DE LA PAROI ABDOMINALE AU BURKINA-FASO : A PROPOS DE 11 CAS COLLIGES

Introduction: Endometriosis of the abdominal wall, defined as the implantation of endometrial tissue within abdominal structures more superficial than the peritoneum, is little known to surgeons treating the affections of the abdominal wall. The aim of this work is to report our experience in the diagnosis and management of this rare condition. Patients and Methods: This was a retrospective multicenter study of patients with endometriosis of the abdominal wall confirmed by histological examination from December 2006 to March 2015. Results: A total of 11 patients with a histological examination of parietal endometriosis were collected. The average age of patients was 35 years. In 7 cases, patients had a history of abdominopelvic surgery. The lesions were located in the umbilical region in 7 cases and in the operative scar in 4 cases. The symptomatology, essentially of pain and parietal swelling, sometimes punctuated by the menstrual cycle, was found in all patients. Treatment consisted of a broad excision of the tumor and the histological confirmed the diagnosis in all cases. The surgery was simple in all patients. The mean duration of postoperative follow-up was 12 months and no recurrence was noted. Conclusion: Parietal endometriosis is a rare localization of endometriosic disease. Diagnostic confirmation is provided by histological examination of lesions. The treatment is essentially surgical and recurrences are rare. Key words: Endometriosis, Abdominal wall, Surgery, Burkina Faso