Incisional endometrioma in the rectus abdominis muscle

In: Bakirkoy Tip Dergisi / Medical Journal of Bakirkoy · 2014 · pp. 130–132 · doi:10.5350/btdmjb201410310 · W2323083872
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This case report describes a patient who developed an endometrioma in the rectus abdominis muscle at a cesarean section scar, which was successfully treated with local excision.

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This case report describes a patient who developed an endometrioma within the rectus abdominis muscle at the site of a previous cesarean section scar. The authors note that the diagnosis was established through history and physical examination, identifying a cyclic painful mass as pathognomonic for this condition. They conclude that local excision is the appropriate treatment for such lesions. This paper is centrally about endometriosis — specifically, abdominal wall endometrioma occurring in the rectus abdominis muscle following surgical incision.

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Abstract

Endometriosis is the existence of endometrial tissue in the extrauterin cavity. Abdominal wall endometrioma is a well circumscribed mass composed of endometrial gland and stroma which may devolop after agynecologic surgery such as a cesarean section at the scar of incision. The diagnosis of scar endometrioma is usually not difficult and based on history and physical examination. We reported here a cese who developed endometrioma on the abdominal wall in the rectus abdominis muscle and was treated with local exicision. In conclusion cyclic painful mass at the cesarean section scar is pathognomonic and large excision is the advisable treatment.

Keywords

Endometriosis, endometrioma, abdominal wall, scar

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endometrioma

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