A Case of Reconstruction of Abdominal Fascia Using Polypropylene Mesh for Patient of Abdominal Wall Endometriosis After Cesarean Section

Kim, Su Mi; Kim, Mi Kyeong; Namkung, Jeong; Song, Jae Yeon; Jung, In Chol; Cho, Hyun Hee; Kwon, Do Hoon; Lew, Young Oak; Kim, Eun Jung; Kim, Jang Heub; Kim, Mee‐Ran

doi:10.5468/kjog.2012.55.7.517

Cited by 3 publications

(2 citation statements)

References 8 publications

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“…Bektaş et al [17] reported a higher rate of recurrence (9.1%) than in previous inadequate resection(s) of endometriotic lesions; another study reported a rate of 7.5%, and 1 review indicated a recurrence rate of 4.5% [24]. Many reports suggest that adequate surgical excision (1 cm) is essential for favorable outcomes [13]; however, to our knowledge, no studies have addressed the role of surgical margin size in recurrence. Although we have reported a patient with recurrent AWE, further studies are needed.…”

Section: Discussionmentioning

confidence: 95%

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Abdominal wall mass suspected of endometriosis: clinical and pathologic features

et al. 2020

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Objective To evaluate the clinical and pathological characteristics of lower anterior abdominal wall masses suspicious for endometriosis. Methods A retrospective review of 38 patients who underwent surgery for a lower anterior abdominal wall mass suspicious for endometriosis was performed. Those with skin and intraperitoneal masses, lipomas, hernias, and metastatic malignant masses were excluded. Patient age, body mass index, delivery history, dysmenorrhea, and mass size and location were analyzed. Results Thirty-seven (97.3%) patients had a relevant surgical history, including 35 (92.1%) with a history of cesarean section (C/S). Among the three patients with no history of C/S, 1 underwent total abdominal and another total laparoscopic hysterectomy, and 1 had no previous surgical history. The mean (±standard deviation) size of the abdominal masses was 3.2±1.2 cm. One patient developed a recurrent mass after excision of abdominal wall endometriosis. Trocar site endometrioma was found in one patient following total laparoscopic hysterectomy. According to the final pathology reports, endometriosis was found in 35 (92.1%) of patients. The remaining 3 patients (7.9%) had malignancy: adenocarcinoma, squamous cell carcinoma, and extra-gastrointestinal stromal tumor. Before surgery, only 3 patients (7.9%) underwent fine-needle aspiration biopsy of the masses, which were all postoperatively confirmed to be pathologically benign. Conclusion Although most abdominal wall masses in the present sample were endometriosis occurring at the scar site from a previous operation, 7.9% of patients ultimately exhibited malignancy. Therefore, all patients with suspected anterior wall endometriosis should undergo preoperative biopsy to identify the few that will have an alternative diagnosis.

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Section: Discussionmentioning

confidence: 95%

“…Surgical excision should include clear margins, at least 1 cm from solid tissue. In addition, medications such as gonadotrophinreleasing hormone agonist or danazol (a synthetic derivative of 17-α-ethinyl testosterone), both before and after surgical resection, may be effective in preventing AWE [12][13][14].…”

Section: Discussionmentioning

confidence: 99%

Abdominal wall mass suspected of endometriosis: clinical and pathologic features

et al. 2020

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Abdominal wall endometriosis; A retrospective, observational study

Katar

Tikic

2021

Turkish Journal of Clinics and Laboratory

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Bu çalışmanın amacı, abdominal duvar endometriozisi (ADE) olan hastalarda demografik ve klinik özellikleri, tanı araçlarını, cerrahi seçenekleri ve nüks oranlarını değerlendirmektir. Gereç ve Yöntemler:Ocak 2015 ile Ocak 2020 tarihleri arasından kliniğimizde ADE nedeniyle opere edilen 44 hasta çalışmaya dahil edildi. Hastalara ait demografik veriler, operasyon geçmişi, klinik özellikler, tanı için kullanılan görüntüleme yöntemi, uygulanan operasyon tipi ve rekürrens durumu değerlendirildi.Bulgular: Çalışmaya dahil edilen hastaların, yaşlarının median değeri 35 (26-48) olarak belirlendi. Hastalardan 1 (%2,3)'inin abdominal operasyon öyküsü bulunmazken; 39 (%88,6) hastanın cesarean section (C/S), 2 (%4,5) hastanın myomektomi ve 2 (%4,5) hastanın da histerektomi öyküsü bulunmaktadır. Çalışmaya dahil edilen hastalardan 2 (%4,5)'sinin herhangi bir şikayeti bulunmazken, 31 (%70,5) hastada karın ön duvarında kitle ve 39 (%88,6) hastada ise ağrı şikayeti bulunmaktaydı. ADE'nin 23 (%52,3) hastada pfannenstiel insizyonun sol lateralinde ve 17 (%38,6) hastada ise pfannenstiel insizyonun sağ lateralinde olmak üzere, büyük çoğunluğunun pfannenstiel insizyon hattında olduğu tespit edildi. Hastaların 34'ünde preoperatif tanı aracı olarak abdominal ultrasonografi (US) ve 10 hastada da abdominopelvik bilgisayarlı tomografi (BT) kullanılmıştır. Abdominal US'nin doğruluk oranının %85,2, abdominopelvik BT'nin doğruluk oranının ise %50 olduğu belirlenmiştir. Serimizdeki takip oranı %95,4 iken, takip süresi median değerinin 36,5 ay (13-57) olduğu gösterilmiştir.Ayrıca takipteki hastalardan birinde rekürrens geliştiği görülmüştür. Sonuç: ADE, jinekolojik girişim öyküsü olan ve abdominal insizyon bölgesinde siklik ağrı ve şişlik ile gelen reprodüktif çağdaki tüm kadınlarda akla gelmelidir. Preoperatif tanı için, hastanın öyküsü ayrıntılı olarak sorgulanmalı; dikkatli bir fizik muayene yapılmalı ve tanı için abdominal US kullanılmalıdır. Tedavide cerrahi eksizyon tercih edilmelidir.

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Delayed Presentation of Cutaneous Endometriosis at the Cesarean Section Scar: A Case Report

Mitwalli,

Alfurayh,

Alsharif

2023

Journal of Dermatology and Dermatologic Surgery

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Cutaneous endometriosis is a rare skin disease presents with variable symptoms and morphologies. A high degree of suspicion followed by a histopathological examination is required to establish the diagnosis of cutaneous endometriosis. It usually appears shortly following a gynecological procedure. We herein report a delayed presentation of cutaneous endometriosis at a cesarian section scar of a 45-year-old female that started to appear four years following the surgery and continued to grow for seven years prior to her presentation. MRI findings were consistent with cutaneous endometriosis and the histopathological examination result confirmed the diagnosis. We reported this case to increase the dermatologists’ awareness on this rare cutaneous disease.

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A Case of Reconstruction of Abdominal Fascia Using Polypropylene Mesh for Patient of Abdominal Wall Endometriosis After Cesarean Section

Cited by 3 publications

References 8 publications

Abdominal wall mass suspected of endometriosis: clinical and pathologic features

Abdominal wall mass suspected of endometriosis: clinical and pathologic features

Abdominal wall endometriosis; A retrospective, observational study

Delayed Presentation of Cutaneous Endometriosis at the Cesarean Section Scar: A Case Report

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