Abdominal wall endometriosis: an overlooked but possibly preventable complication

Taiwanese Journal of Obstetrics & Gynecology
Chen-Chih TengChuen-Long Kuo

Abstract

To find ways of preventing abdominal wall endometriosis through a retrospective case review. A retrospective study of 22 patients presenting with 26 postoperative abdominal wall masses. All masses were pathologically proved to be scar endometriosis between September 1994 and September 2006. The age, parity, symptoms and duration, previous surgeries, interval between previous surgery and current operation, initial diagnosis, and the 26 sites and size of endometrioma were recorded and analyzed. About 60% of the patients were in the fourth decade of life. All 22 cases, except one with mid-trimester hysterotomy, had previous cesarean section (CS). Three cases had vertical midline incision for CS, and the other 19 had Pfannenstiel incision, 18 of which were for CS and one for hysterotomy. Of the 22 cases, only three had multiple endometriomas, i.e. one case had three foci and the other two cases had two foci each. Twenty-three endometriomas were found in the Pfannenstiel incision group; 19 out of the 23 foci (82%) were located in either corner of the Pfannenstiel incision wounds (with right side predominance in 13 out of 19). Three endometriomas were noted in vertical midline incisions and two were in the upper corner. Three endomet...Continue Reading

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Feb 20, 2010·Abdominal Imaging·S NovellasEt P Chevallier
Feb 3, 2009·Cardiovascular and Interventional Radiology·Gianpaolo CarrafielloCarlo Fugazzola
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