scholarly journals Abdominal wall endometriosis: an update in clinical, imagistic features, and management options

2017 ◽  
Vol 19 (4) ◽  
pp. 430 ◽  
Author(s):  
Mihaela Grigore ◽  
Demetra Socolov ◽  
Ioana Pavaleanu ◽  
Ioana Scripcariu ◽  
Ana Maria Grigore ◽  
...  

Abdominal wall endometriosis (AWE) is a rare condition defined by the presence of endometrial tissue in the subcutaneous fatty layer and the muscles of the abdominal wall. It is usually caused by the dissemination of endometrial tissue in the wound at the time of obstetrical and gynecological surgeries. AWE is rare and difficult to diagnose. The most frequent clinical presentation is that of a palpable subcutaneous mass near surgical scars associated with cyclic pain and swelling during menses. AWE may be an underreported pathology partly because it has scarcely received attention in the radiologic literature. Its frequency is expected to rise along with the increasing rate of cesarean deliveries; thus, it is important that physicians or sonographers are familiar with this pathology. The purpose of our review is to present the latest data regarding risk factors, clinical and imagisticfindings, and management of AWE.

2018 ◽  
Vol 25 (2) ◽  
pp. 342-343 ◽  
Author(s):  
Philippe R. Koninckx ◽  
Anastasia Ussia ◽  
Arnaud Wattiez ◽  
Errico Zupi ◽  
Victor Gomel

2017 ◽  
Vol 24 (3) ◽  
pp. 478-484 ◽  
Author(s):  
Zaraq Khan ◽  
Valentina Zanfagnin ◽  
Sherif A. El-Nashar ◽  
Abimbola O. Famuyide ◽  
Gaurang S. Daftary ◽  
...  

Author(s):  
Recep Erin ◽  
Kübra Baki Erin ◽  
Derya Burkankulu Ağırbaş ◽  
Burcu Kemal Okatan

<p>We aimed to present a case with abdominal wall endometriosis following cesarean section in this case report. <br />A 32 year old 39 weeks pregnant woman with G2P1 was admitted to gynaecology clinic with abdominal lump and pain in the midline. Her physical examination included a hard and painful palpable subcutaneous mass of 4x5 cm size in the midline of the abdomen which was semisolid and irreducible. <br />Under general anesthesia, the mass on the rectus muscle was excised with the healthy tissue around with the diagnosis of endometriosis during cesarean section and the pathological diagnosis was reported as endometriosis.<br />Surgical excision is the best treatment method in abdominal wall endometriosis. <br /><br /></p>


2006 ◽  
Vol 186 (3) ◽  
pp. 616-620 ◽  
Author(s):  
Jan-Hein J. Hensen ◽  
Adriaan C. Van Breda Vriesman ◽  
Julien B. C. M. Puylaert

2018 ◽  
Vol 71 (suppl. 1) ◽  
pp. 83-86
Author(s):  
Goran Malenkovic ◽  
Sanja Tomic ◽  
Bratislav Stoiljkovic

Endometriosis is defined as a functional endometrial tissue outside the uterine cavity. The ectopic endometrial tissue has been identified after gynecologic laparoscopy or laparotomy procedures in the skin, subcutaneous tissues, abdominal and pelvic wall musculature, and it represents amayor cause of acute or chronic recurrent abdominal or pelvic pain resembling the menstrual cycle. The frequency of abdominal wall endometriosis is approximately 1% of all women who had a cesarean delivery. A 39-year-old patient with a history of one prior Cesarean section, presented with continuous cyclical focal pain at the left part of cesarean scar site for the past 16 months, 23 months after Cesarean section. The patient underwent a mini laparotomy, when endometrioma was completely removed surgically. The PH diagnosis of endometriosis was based on the presence of all elements of the endometrial mucosa (glands, stroma and signs of fresh and old hemorrhage) in an inadequate place (anterior abdominal wall). Endometriosis is difficult to diagnose and it is often mistaken for other conditions such as a suture granuloma, incisional hernia, primary or metastatic cancer. Endometriosis can be prevented only with good surgical techniques and clinical practice as well as the proper care during primary surgery.


2020 ◽  
Vol 12 (1) ◽  
pp. 69-72 ◽  
Author(s):  
Leyla Cavdar ◽  
Solomon Ajasin ◽  
Scott Woolf ◽  
Robert Fekete

The clinical presentation of repetitive choreiform involuntary movements of the anterior abdominal wall was first introduced as “belly dancer’s dyskinesia.” Etiologies of this rare condition include idiopathic causes, medication inducement, or post-abdominal surgery. We report a case of orobuccal stereotypic movements and abdominal wall dyskinesia secondary to prochlorperazine intake. The movements began 2 weeks after cessation of prochlorperazine. The patient took this dopamine receptor-blocking medication for 6 months to treat nausea due to chemotherapy. To our knowledge, abdominal wall dyskinesia as a tardive syndrome of prochlorperazine has not been previously reported.


Author(s):  
Y. Lakshmi Nalini ◽  
Manipal Kumar Puvvala ◽  
A. Sarath Chandra ◽  
. Rajalingam

Background: Endometriosis is a disorder in which an ectopic endometrial tissue grows outside the uterine cavity. The ectopic endometrium in abdominal wall is called as abdominal wall endometriosis (AWE). AWE is a very rare condition and exact incidence is not known. This is usually known to develop along with previous surgical scars especially following Caesarean section and Hysterectomy.Methods: Retrospective analysis of the patients operated for AWE was done. Data relating to age, symptomology, and previous caesarean section, relation to symptoms with the menstrual cycle, physical examination, surgical treatment and post-operative course was analyzed.Results: 16 patients were operated during the study period of 3 years between September 2013-september 2016.The ages ranged between 20-35 years. Presences of local mass and cyclical pain during menstruation were the main symptoms. Ultrasonography was done in all the cases and CT abdomen was done in few cases (2) to know the exact depth of the mass and to differentiate from other diseases. Wide surgical excision was carried out in all cases.Conclusions: There is definite relationship with AWE and caesarean sections in women.


Author(s):  
Dmitriy Kovalev

Coronary artery stenosis is a very rare condition in women of childbearing age without previous risk factors for atherosclerosis. A case of severe isolated bilateral coronary ostial stenosis, which manifested itself as a clinical presentation of unstable angina, was described. It led to the hospitalization of a 34-year-old woman in the cardiology hospital. Further examination revealed syphilitic origin of vascular lesions.


Medicina ◽  
2020 ◽  
Vol 56 (12) ◽  
pp. 727
Author(s):  
Bogdan Doroftei ◽  
Theodora Armeanu ◽  
Radu Maftei ◽  
Ovidiu-Dumitru Ilie ◽  
Ana-Maria Dabuleanu ◽  
...  

Background and objectives: Abdominal wall endometriosis, also known as scar endometriosis, is a rare condition that is becoming increasingly common. The recent rise in incidence is attributed primarily to the surge of cesarean births, figures that could be influenced in a positive manner considering the improvements brought towards the ultrasound diagnostic methods that have been made in recent years. Materials and Methods: Here we report the cases of two Caucasian women of 38- (G2P2) and 36-years old (G1P1), both subjected to an ultrasound examination due to a specific symptomatic panel reported during anamnesis. Independently of the current status, in the first patient, there were no reported symptom-specific associations with endometriosis, but she had a known history of mild hereditary thrombophilia; the second woman suffered from two conditions positively associated with endometriosis. Results: In both cases, abnormal structures were revealed, with the diagnostic(s) of endometriosis being histologically confirmed based on a set of features observed during the investigation. Conclusions: This paper aims to highlight the importance of reducing cesarean births and to consider the diagnosis of scar endometriosis in women with a history of obstetric or gynaecological surgeries who present with cyclic, recurrent abdominal pain.


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