Recidiva de endometriosis en pared abdominal. Reporte de caso

Translated title of the contribution: Recurrence of endometriosis in the abdominal wall. A case report

G. A. Domínguez Alvarado, D. D'vera Camargo, J. Leal Bernal, D. C. Reyes Espinel, C. J. Rueda García, L. E. López Gómez

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: Abdominal wall endometriosis is an uncommon pathology, which usually develops in a surgical scar following a gynaecological and/or gynaecological-obstetric procedure. Case study: Female, 29 years old, G3C2A1V2, history of surgical sterilization. One year after her last cesarean section, she presented with chronic pelvic pain associated with the menstrual cycle, accompanied by heavy menstrual bleeding and a sensation of a mass in the hypogastrium. She was diagnosed with endometriosis in the abdominal wall, and resection was performed. However, one year after the procedure, the endometriosis in the abdominal wall recurred, this time requiring wide fascia resection, mesh placement and layered closure. Conclusions: Abdominal wall endometriosis is difficult to diagnose, since it is a comparatively infrequent entity, which has not received adequate attention. It is important to suspect it in women with cyclic abdominal pain and the presence of a mass in the abdominal wall, in addition to the use of diagnostic imaging. Surgical resection is the ideal treatment, however, it is important to emphasize the importance of a wide margin resection to avoid recurrence. Layered closure is also important to avoid defects in the abdominal wall.

Translated title of the contributionRecurrence of endometriosis in the abdominal wall. A case report
Original languageSpanish
Article number100669
JournalClinica e Investigacion en Ginecologia y Obstetricia
Volume48
Issue number4
DOIs
StatePublished - 1 Oct 2020

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