Abdominal wall endometriosis: clinical presentation, imaging features and management of five cases

Goran Malenković, Sanja Tomić, Jasmina Boban, Nensi Lalić, Marko Bojović
In: Srpski arhiv za celokupno lekarstvo · 2020 · vol. 148(7-8) , pp. 484–488 · doi:10.2298/sarh191013021m · W3018693062
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This case series describes the clinical presentation, imaging features, and surgical management of five patients with abdominal wall endometriosis after Cesarean section.

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This paper is a case series of five patients who developed abdominal wall endometriosis after Cesarean section, aiming to describe the clinical and radiological presentation of this uncommon condition. The cases were diagnosed clinically and managed with open abdominal surgery and surgical resection, and the authors summarize imaging features alongside presenting symptoms. The authors note the condition is often underestimated on imaging and can be mistaken for other diagnoses, which is a key limitation of presurgical recognition in general. This paper is centrally about endometriosis — specifically abdominal wall endometriosis occurring after Cesarean section, including clinical presentation and imaging features guiding surgical management.

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Abstract

Introduction. Endometriosis represents a functional endometrium outside the uterine cavity. Ectopic endometrial tissue has been identified within the pelvis, affecting both pelvic and extrapelvic organs, causing recurrent pelvic or abdominal pain corresponding to the menstrual cycle. The incidence of abdominal wall endometriosis after Cesarean section is approximately 2%. It is often mistaken for other conditions primarily because this condition is underestimated on imaging. The objective of this case series is to summarize possible clinical and radiological presentations of this uncommon condition. Outline of cases. The authors present a case series of five patients who developed abdominal wall endometriosis after Cesarean section. Having been diagnosed clinically, the patients underwent open abdominal surgery, and were treated by surgical resection. Conclusion. Good clinical practice and excellent surgical techniques may help in preventing endometriosis, while adequate clinical examination and proper imaging can help in presurgical planning and successful definitive treatment.
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Srpski arhiv za celokupno lekarstvo 2020 Volume 148, Issue 7-8, Pages: 484-488 Abdominal wall endometriosis: clinical presentation, imaging features and management of five cases Malenković Goran (University of Novi Sad, Faculty of Medicine, Department of Nursing, Novi Sad, Serbia + Oncology Institute of Vojvodina, Sremska Kamenica, Serbia) Introduction. Endometriosis represents a functional endometrium outside the uterine cavity. Ectopic endometrial tissue has been identified within the pelvis, affecting both pelvic and extrapelvic organs, causing recurrent pelvic or abdominal pain corresponding to the menstrual cycle. The incidence of abdominal wall endometriosis after Cesarean section is approximately 2%. It is often mistaken for other conditions primarily because this condition is underestimated on imaging. The objective of this case series is to summarize possible clinical and radiological presentations of this uncommon condition. Outline of cases. The authors present a case series of five patients who developed abdominal wall endometriosis after Cesarean section. Having been diagnosed clinically, the patients underwent open abdominal surgery, and were treated by surgical resection. Conclusion. Good clinical practice and excellent surgical techniques may help in preventing endometriosis, while adequate clinical examination and proper imaging can help in presurgical planning and successful definitive treatment. Keywords: abdominal wall, caesarean section, endometriosis, endometrioma, imaging, surgery https://doi.org/10.2298/SARH191013021M Full text ( 1669 KB) Tomić Sanja (University of Novi Sad, Faculty of Medicine, Department of Nursing, Novi Sad, Serbia) Boban Jasmina (University of Novi Sad, Faculty of Medicine, Department of Nursing, Novi Sad, Serbia + Oncology Institute of Vojvodina, Sremska Kamenica, Serbia) Lalić Nensi (University of Novi Sad, Faculty of Medicine, Department of Nursing, Novi Sad, Serbia + Institute for Pulmonary Diseases of Vojvodina, Sremska Kamenica, Serbia) Bojović Marko (Institute for Pulmonary Diseases of Vojvodina, Sremska Kamenica, Serbia)

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endometriosis

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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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