Abdominal wall endometrioma presenting as a cystic abdominal wall mass: a case report and literature review

Tyler Davis, Paige Moudy, Lutfi Barghuthi, Mohamed Abdelgawad, Hishaam Ismael
Journal of surgical case reports · 2021 · vol. 2021(8) , pp. rjab335 · doi:10.1093/jscr/rjab335 · PMID:34457234 · W3198101361
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This case report describes a 39-year-old female with a history of gynecologic surgery who presented with a large abdominal wall endometrioma, emphasizing the need for high suspicion in similar presentations and recommending wide local excision.

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Abstract

Endometriosis is classically defined as 'the presence of endometrial glands and stroma outside of the uterine cavity and musculature'. Although it most commonly occurs in the pelvis, various extrapelvic locations have been reported in the literature. There seems to be a strong association between abdominal wall endometriomas and previous surgical scars. In female patients presenting with a cyclically painful abdominal wall mass, a high index of suspicion for endometrioma must be maintained, especially in the setting of previous gynecologic surgery. Although there may be a role for medical management of symptoms, the most definitive treatment of an abdominal wall endometrioma appears to be wide local excision with negative margins. This paper presents a 39-year-old female with an extensive gynecologic surgical history presenting with a 6 × 6 cm cyclically tender abdominal wall endometrioma treated with wide local excision.

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Condition tags

endometriosisendometrioma

Citation neighborhood

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.

References (21)

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