1 Sep 2018Case Report
Abdominal wall endometriosis in patients with a history of cesarian section
Meryem Hocaoglu 1Abdulkadir Turgut 2Ozkan Ozdamar 2Ahmet Aslan 3Selin Demirer 4Akın Usta 5Esra Ekdeniz 6Ates Karateke 2
Affiliations
Article Info
1 Department of Obstetrics and Gynecology, Goztepe Training and Research Hospital, Istanbul Medeniyet University, Istanbul Turkey
2 Department of Obstetrics and Gynecology, Faculty of Medicine, Istanbul Medeniyet University, Istanbul Turkey
3 Department of Radiology, Faculty of Medicine, Istanbul Medeniyet University, Istanbul Turkey
4 Department of Histology and Embryology, Faculty of Medicine, Namık Kemal University, Tekirdag
5 Department of Obstetrics and Gynecology, Faculty of Medicine, Balıkesir University, Balıkesir, Turkey
6 Division of Biostatistics, Faculty of Medicine, Marmara University, Istanbul Turkey
Ann. Ital. Chir., 2018, 89(5), 425-430;
Published: 1 Sep 2018
Copyright © 2018 Annali Italiani di Chirurgia
This work is licensed under a Creative Commons Attribution 4.0 International License.
Abstract
OBJECTIVE: The aim of this study is to review the characteristics, intraoperative and radiological findings of abdominal wall endometriosis (AWE). METHODS: This retrospective observational cohort study was executed through analysis of the medical records of patients who underwent excision of AWE between January 2000 and June 2017. All the diagnoses were confirmed pathologi- cally. Characteristics, intraoperative and radiological findings of patients with AWE were and analyzed. RESULTS: Each of the 20 patients had a history of at least one prior cesarean section. The main presenting symptoms were pain (70%). Ultrasonography and/or magnetic resonance imaging was performed in 95% and 45 % of the patients, respectively. One patient (5%) was investigated by 18 Fluorodeoxyglucose positron emission tomography - computed tomog- raphy. The preoperative radiological diagnosis was correcting in 55 % of the cases. The mean diameter of the masses was 4.7 ± 1.53 cm. Recurrence was found only in one patient during 36-month follow-up. DISCUSSION: Meticulous anamnesis, accurate clinical examination and proper imaging studies, are important guides for diagnosis. CONCLUSION: AWE should be kept in mind when pain or mass is detected on the abdominal wall of women who have cesarean section history.
Keywords
- Abdominal wall endometriosis
- Cesarean section
- Radiology
- Scar endometriosis