Digestive Diseases and Sciences

, Volume 47, Issue 2, pp 456–461 | Cite as

Abdominal Wall Endometriomas

  • Amit J. Dwivedi
  • Sunita N. Agrawal
  • Yvan J. Silva

Abstract

Endometriosis is a condition in which uterine mucosal tissue is located outside the uterus. Endometriosis may be pelvic or extrapelvic. The term endometrioma is used when endometriosis appears as a circumscribed mass. Abdominal wall endometriomas are usually a secondary process in scars after surgical procedures. A retrospective study of abdominal wall endometrioma, from March 1992 through April 1999 at our institution was done. The mean age of the patients was 28.4 years. Twelve of these reported cases were secondary to previous surgery. One patient presented primarily with an abdominal wall mass without previous surgical history. The most common presentation was an abdominal wall mass associated with pain during the menstrual cycle. Endometrioma was considered as a differential diagnosis in seven patients. All patients underwent surgery. Along with the literature review on endometrioma, the importance of considering it in the differential diagnosis for patients of child-bearing age is discussed.

abdomen endometriosis surgery treatment 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

REFERENCES

  1. 1.
    Williams HE, Barsky S, Storino W: Umbilical endometrioma. Arch Dermatol 112:1435–1436, 1976Google Scholar
  2. 2.
    Steck WD, Helwig EB: Cutaneous endometriosis. Clin Obstet Gynecol 9:373–383, 1966Google Scholar
  3. 3.
    Healy JT, Wilkinson NW, Sawyer M: Abdominal wall endometrioma in a laparoscopic trocar tract: A case report. Am Surg 61:962–963, 1995Google Scholar
  4. 4.
    Coley B, Casola G: Incisional endometrioma involving the rectus abdominis muscle and subcutaneous tissues: CT appearance. Am J Roentgenol 160:549–550, 1993Google Scholar
  5. 5.
    Chatterjee SK: Scar endometriosis: A clinicopathologic study of 17 cases. Obstet Gynecol 56:81–84, 1980Google Scholar
  6. 6.
    Singh KK, Lessells AM, Adam DJ, Jordan C, Miles WF, Macintyre IM, Greig JD: Presentation of endometriosis to general surgeons: A 10 year experience. Br J Surg 82:1349–1351, 1995Google Scholar
  7. 7.
    Popoff L, Raitcheu R, Andreev V: Endometriosis of the skin. Arch Dermatol 85:185–187, 1962Google Scholar
  8. 8.
    Brenner C, Wohlgemuth S: Scar endometriosis. Surg Gynecol Obstet 170:538–540, 1990Google Scholar
  9. 9.
    Patterson GK, Winburn GB: Abdominal wall endometriomas: Report of eight cases. Am Surg 65:36–39, 1999Google Scholar
  10. 10.
    Greenhill JP: Scar endometriosis. Am J Obstet Gynecol 44:177–178, 1992Google Scholar
  11. 11.
    Higginbottom J: Termination of pregnancy by abdominal hysterotomy. Lancet 1:937–938, 1973Google Scholar
  12. 12.
    Wittich AC: Endometriosis in an episiotomy scar: Review of the literature and report of a case. J Am Osteopath Assoc 82:22–23, 1982Google Scholar
  13. 13.
    Yackovich FH, Bender GN, Tsuchida AM: Case report: Perianal episiotomy scar endometrioma imaged by CT and sector endoluminal ultrasound. Clin Radiol 49:578–579, 1994Google Scholar
  14. 14.
    Kaunitz A, Di Sant'Agnese PA: Needle tract amniocentesis: an unusual complication of amniocentesis. Obstet Gynecol 54:753–755, 1979Google Scholar
  15. 15.
    Firilas A, Soi A, Max M: Abdominal incision endometriomas. Am Surg 60:259–261, 1994Google Scholar
  16. 16.
    Bergqvist A: Different types of extragenital endometriosis: A review. Gynecol Endocrinol 7:207–221, 1993Google Scholar
  17. 17.
    Rani PR, Soundararaghavan S, Rajaram P: Endometriosis in abdominal scars: Review of 27 cases. Int J Gynecol Obstet 36:215–218, 1991Google Scholar
  18. 18.
    Vincent LM, Mittelstradet CA: Sonographic demonstration of endometrioma arising in a cesarean section scar. J Ultrasound Med 4:437–438, 1985Google Scholar
  19. 19.
    Amato M, Levitt R: Abdominal wall endometrioma: CT findings. J Comput Assisted Tomogr 8:1213–1214, 1984Google Scholar
  20. 20.
    Chin YY, Perez-Reyes M, Brown JJ: MR appearance of umbilical endometriosis. J Comput Assist Tomogr 18:269–271, 1994Google Scholar
  21. 21.
    Wolf GC, Kopecky KK: MR imaging of endometriosis arising in cesarean section scar. J Comput Assisted Tomogr 13:150–152, 1989Google Scholar
  22. 22.
    Griffin JB, Betsill WL: Subcutaneous endometriosis diagnosed by fine needle aspiration cytology. Acta Cytol 29:584–588, 1985Google Scholar
  23. 23.
    Madsen H, Hansen P, Anderson OP: Case report: Endometrioid carcinoma in an operation scar. Acta Obstet Gynecol Scand 59:475–476, 1980Google Scholar
  24. 24.
    Kotwall CA, Kirkbride P, Zerafa AE, Murray D: Endometrial cancer and abdominal wound recurrence. Gynecol Oncol 53:357–360, 1994Google Scholar
  25. 25.
    Kennedy S, Brodribb J, Godfrey AM, Barlow DH: Preoperative treatment of an abdominal wall endometrioma with nafarelin acetate. Br J Obstet Gynecol 95:521–523, 1988Google Scholar
  26. 26.
    Koskimies AI, Meyer B, Windholm O: Treatment of vaginal endometriosis with danazol. Acta Obstet Gynecol Scand 123:67–68, 1984Google Scholar
  27. 27.
    Suginami H, Hamada K, Yano K: A case of endometriosis of the lung treated with danazol. Obstet Gynecol 66:68–71, 1985Google Scholar
  28. 28.
    Purvis RS, Tyring SK: Cutaneous and subcutaneous endometriosis: Surgical and hormonal therapy. J Dermatol Surg Oncol 20:693–695, 1994Google Scholar
  29. 29.
    Dellon AL, Grodin J, Ketcham AS, Chretien PB: Recurrent abdominal scar endometriosis in a patient with fibrous mandibular neoplasm. Am J Obstet Gynecol 120:849–850, 1974Google Scholar

Copyright information

© Plenum Publishing Corporation 2002

Authors and Affiliations

  • Amit J. Dwivedi
    • 1
    • 2
  • Sunita N. Agrawal
    • 3
  • Yvan J. Silva
    • 1
    • 2
  1. 1.Department of SurgeryNorth Oakland Medical CentersPontiacUSA
  2. 2.Wayne State UniversityDetroitUSA
  3. 3.St. Joseph Mercy Oakland HospitalPontiacUSA

Personalised recommendations