Anterior Abdominal Wall Scar Endometriosis: An Enigma

Endometrial stromal cell attachment and matrix homeostasis in abdominal wall endometriomas

“…These stromal cells, however, were unlike dermal fibroblasts in that they were PR+, suggesting that the source of these cells was endometrial stroma. Interestingly, however, abdominal wall endometriomas are notoriously insensitive to progesterone or progestin treatment (Ramesh et al, 2016). In this study, we investigated expression of MMPs and adhesion molecules in abdominal wall endometriomas and progesterone responses of endometrioma stromal cells.…”

Rupture of a Giant Caesarean Scar Endometriosis Nodule - A Case Report and Literature Review

“…The abdominal wall endometrioma can undergo various complications like infection, abscess formation, haemorrhage, rupture and malignant transformation [26]. Endometriosis rupture is very rare complication with only a few cases being reported in literature for pelvic endometrial cyst and anterior abdominal wall endometriosis [27].…”

Use of radioguided surgery in abdominal wall endometriosis: An innovative approach

“…[ 5 6 ] The extrapelvic endometriosis is considered a rare entity and is described cases with involvement of the bladder, bowel, and omentum, for example. [ 3 6 ] There are also reported cases in scar tissue from previous abdominal incisions, including laparoscopy holding local, hernias repair, and laparotomy, collectively named abdominal wall endometriosis. [ 1 5 ]…”

“…[3,4] It affects mainly the pelvic area, confined to serous peritoneal surfaces and intra-abdominal organs such as the ovaries, fallopian tubes, peritoneum, and rectovaginal septum. [5,6] The extrapelvic endometriosis is considered a rare entity and is described cases with involvement of the bladder, bowel, and omentum, for example. [3,6] There are also reported cases in scar tissue from previous abdominal incisions, including laparoscopy holding local, hernias repair, and laparotomy, collectively named abdominal wall endometriosis.…”

“…[5,6] The extrapelvic endometriosis is considered a rare entity and is described cases with involvement of the bladder, bowel, and omentum, for example. [3,6] There are also reported cases in scar tissue from previous abdominal incisions, including laparoscopy holding local, hernias repair, and laparotomy, collectively named abdominal wall endometriosis. [1,5] Many theories attempt to explain its pathogenesis, including, retrograde menstruation, lymphatic and vascular dissemination, metaplasia, and mechanical implementation.…”