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>Journals >Cirujano General >Year 2002, Issue 4

Cárdenas-Lailson LE, Berlanga-Ramírez F, Athié-Athié AJ, González-Parada F, Villanueva-Egan LA
Abdominal wall endometrioma: clinical characteristics and results of
Cir Gen 2002; 24 (4)

Language: Español
References: 19
Page: 295-299
PDF: 4. Kb.

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Objective: To review the characteristics and the results of the surgical treatment of the anterior abdominal wall endometrioma.
Design: Series of cases.
Setting: Third level health care hospital.
Material and methods: We reviewed the clinical records of the patients with histopathological diagnoses of surgical wound endometrioma in a 15-years period, from 1983 to 1999. We analyzed the following variables: age, evolution time, symptoms, dimensions of the endometrioma, location, surgical technique, morbidity and recurrence.
Results: From the 25 cases, 22 (from a total of 8647) were secondary to a cesarean section, two to an ovarian cyst resection, and one secondary to appendicectomy. Frequency of endometrioma after cesarean section was of 0.25%. In 92%, there was the antecedent of two or more cesarean sections. Symptoms were pain, tumor at the surgical scar, menstruation-related pain, and hemorrhage. Preoperative diagnosis was made in 24% of the patients. Differential diagnoses were incisional hernia, granuloma due to suture, and omphalitis. Simple exeresis was performed in 88% of the cases. Frequency of recurrences was 12%.
Conclusion: Endometriomas of the anterior abdominal wall are not taken into account in the differential diagnosis in women with pain and palpable mass at a surgical scar in the anterior abdominal wall, due to its low frequency and because the characteristics are very similar to those of an incisional hernia. Treatment of choice is wide border exeresis.

Key words: Endometrioma, incisional hernia, abdominal wall surgery.


  1. Williams HE, Barsky S, Storino W. Umbilical endometrioma (silent type). Arch Dermatol 1976; 112: 1435-6.

  2. Longo LD. Classie pages in obstetrics and gynecology. Aberrant portions of the Mullerian duct found in an ovary: William Wood Russell. Johns Hopkins Hospital Bulletin, vol. 10, pp. 8–10, 1899. Am J Obstet Gynecol 1979; 134: 225-6

  3. Wespi JH, Kletzhandler M. Scar endometriosis [abstracts] Monatschr F. Geburtsh u Gynäk 1940; 111: 169.

  4. Steck MWD, Helwing EB. Cutaneous endometriosis. JAMA 1965; 191: 101-4.

  5. Field CA, Banner EA, Symmonds RE. Endometriosis of abdominal scar after cesarean section. Proc Mayo Clin 1962; 37: 12-5.

  6. Firilas A, Soi AS, Max M. Abdominal incision endometriomas. Am Surg 1994; 60: 259-61.

  7. Higginbottom J. Termination of pregnancy by abdominal hysterotomy. Lancet 1973; 1: 937-8.

  8. Kale S, Shuster M, Shangold J. Endometrioma in a cesarean scar: case report and review of the literature. Am J Obstet Gynecol 1971; 111: 596-7.

  9. Seydel AS, Sickel JZ, Warner ED, Sax HC. Extrapelvic endometriosis: diagnosis and treatment. Am J Surg 1996; 171: 239-41.

  10. Chatterjee SK. Scar endometriosis: a clinicopathologic study of 17 cases. Obstet Gynecol 1980; 56: 81-4.

  11. Rani PR, Soundararaghavan S, Rajaram P. Endometriosis in abdominal scar-review in 27 cases. Int J Gynaecol Obstet 1991; 36: 215-8.

  12. Chun JT, Nelson HS Jr, Maull KI. Endometriosis of the abdominal wall. South Med J 1990; 83: 1491-2.

  13. Patterson GK, Winburn GB. Abdominal wall endometriomas: report of eight cases. Am Surg 1999; 65: 36-9.

  14. Singh KK, Lessells AM, Adam DJ, Jordan C, Miles WFA, Macintyre IMC et al. Presentation of endometriosis to general surgeons: a 10-year experience. Br J Surg 1995; 82: 1349-51.

  15. Koger KE, Shatney CH, Hodge K, McClenathan JH. Surgical scar endometrioma. Surg Gynecol Obstet 1993; 177: 243-6.

  16. Griffin JB, Betsill WL Jr. Subcutaneous endometriosis diagnosed by fine needle aspiration cytology. Acta Cytol 1985; 29: 584-8.

  17. Kennedy SH, Brodribb J, Godfrey AM, Barlow DH. Pre-operative treatment of and abdominal wall endometrioma with nafarelin acetate. Case report. Br J Obstet Gynaecol 1988; 95: 521-3.

  18. Martin RH, Higginbottom J. Hysterotomy and endometriosis. Lancet 1973; 2:106.

  19. Liu DT. Hysterotomy and endometriosis. Lancet 1973; 1: 1179-80.

>Journals >Cirujano General >Year 2002, Issue 4

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