Abdominal wall endometriosis: a surgeon's perspective and review of 445 cases

Scar endometriosis: A series of 3 cases

“…SE has been well documented in incisions where there is likelihood of contact with endometrial tissue, such as episiotomy, hysterectomy, hysterotomy, ectopic pregnancy, laparoscopic gynae surgeries, tubal ligation, and CS. 4,7,8 All our cases had occurrence of SE in post-cesarean scar.…”

“…7 Major factor attributed to be responsible for endometrioma development is inadvertent inoculation of endometrial tissue into the incision site. 8 Clinically, SE presents as pain and swelling at the site of scar. The time interval between surgery and clinical presentation varies in different series from 3 months to 10 years.…”

Case Report of Recurrent Abdominal Wall Endometrioma at the Same Location after Nine Years of Its First Excision

“…The latter is present in 81% of the cases [2]. In addition, the incidence of AWE after C-section is estimated between 0,03 and 1,08% [4][5][6][7][8][9].…”

“…Its incidence is between 0,5 to 2% of the previously diagnosed cases, depending on the studies reviewed [4]. However, the recurrences rates could reach 29% according to a systematic review by Horton et al [5].…”

Incisional Endometriosis: Four Clinical Cases

“…Anatomical factors are associated with conditions that favor implantation and growth of viable endometrial cells, including impairment of anatomic integrity during surgery. Incisional endometriosis is a rare clinical phenomenon that is seen after cesarean section, episiotomy, and surgical treatment of the uterine body, ovaries or ovarian tubes [17][18][19]. Symptoms of endometriosis include a painful nodule on the site of incision, a hemorrhagic lesion on the scar, and changes in the size of the formation during menstrual cycles.…”