Santana PT, Estepa PJL, Estepa TJC

Language: Spanish
References: 12
Page: 670-675
PDF size: 210.97 Kb.

ABSTRACT

Abdominal wall endometrioma is a condition rarely seen by surgeons. It represents a diagnostic challenge due to its similarity with other tumors. This entity occurs in fertile women and often appears two to five years after gynecological and obstetric surgical procedures. It must be considered when dealing with a cyclically painful nodule located in a laparotomy scar. The diagnosis is established by histological examination; most imaging tests determine the characteristics of the lesion, concomitant lesions and the intra-abdominal origin or location in the abdominal wall. The cases of two patients treated at the General Surgery Department of the María Eugenia González Comprehensive Diagnostic Center in the Capital District, Venezuela, are presented. Wide excision of the tissue and histological examination were performed, confirming the diagnosis. The postoperative course was uneventful. This case is presented given the rarity of this condition.

REFERENCES

1. Ortega Herrera R, Serrano Puche F, Prieto Sánchez E, Gómez de Travecedo y Calvo I, López Marín P, Rubí Uriá MJ. Endometriosis de la pared abdominal. Prog Obstet Ginecol. 2012 ; 55 (8): 367-72.

2. Park SB, Kim JK, Cho KS. Sonography of endometriosis in infrequent sites. J Clin Ultrasound. 2008 ; 36 (2): 91-7.

3. Horton JD, Dezee KJ, Ahnfeldt EP, Wagner M. Abdominal wall endometriosis: a surgeon´s perspective and review of 445 cases. Am J Surg. 2008 ; 196 (2): 207-12.

4. Hensen JH, Van Breda Vriesman AC, Puylaert JB. Abdominal wall endometriosis: clinical presentation and imaging features with emphasis on sonography. AJR Am J Roentgenol. 2006 ; 186 (3): 616-20.

5. Chon Ávila CF, Rodríguez-Wong U, Ávila Martín Ch, Mercado V, Rovelo Lima E, Vargas Contreras M. Endometrioma de pared abdominal. ¿Diagnóstico poco frecuente? Reporte de dos casos. Rev Hosp Jua Mex. 2007 ; 74 (3): 198-200.

6. Garteiz Martínez D, Carbo Romano R, Weber Sánchez A, Molinar Horcasitas L. Dificultad diagnóstica del endometrioma de pared abdominal: caso clínico y revisión de la bibliografía. Ginecol Obstet Mex. 2008 ; 76 (2): 125-9.

7. Carvajal A, Braghetto I, Carvajal R, Miranda C. Endometriosis de la pared abdominal. Rev Chil Obstet Ginecol. 2007 ; 72 (2): 105-10.

8. Carreón Corzo C, Calizaya Hurtado AR, Novillo Miranda H. Endometriosis de la pared abdominal, a propósito de un caso. Revista de Diagnóstico por Imágenes. 2007 ; 2 (2): 41-5.

9. Pardo MI, Campos S, Ouviña O, Caramés Vidal R, Vázquez- Rodríguez M. Endometriosis en cicatriz de cesárea anterior. Clínica e Investigación en Ginecología y Obstetricia. 2010 ; 37 (1): 35-7.

10. Coutinho A, Bittencourt LK, Pires CE, Junqueira F, Lima CM, Coutinho E, et al. MR imaging in deep pelvic endometriosis: a pictorial essay. Radiographics. 2011 ; 31 (2): 549-67.

11. Busard MP, van der Houwen LE, Bleeker MC, Pieters van den Bos IC, Cuesta MA, van Kuijk C, et al. Deep infiltrating endometriosis of the bowel: MR imaging as a method to predict muscular invasion. Abdom Imaging. 2012 ; 37 (4): 549-57.

12. Pérez Carbajo E, Zapardier Gutiérrez I, Godoy Tundidor V, de la Fuente Valero J, Martín Arias A. Endometriosis abdominal. A propósito de 2 casos. Clínica e Investigación en Ginecología y Obstetricia. 2009 ; 36 (4): 140-3.