>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)
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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.
||Endometrioma, incisional hernia, abdominal wall surgery.
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>Year 2002, Issue 4