Abdominal Wall Endometriosis Eleven Years After Cesarean Section: Case Report
Endometriosis is a common chronic disease characterized by growth of the endometrial gland and stroma outside the uterus. Symptoms affect physical, mental and social well-being. Extrapelvic location of endometriosis is very rare. Abdominal wall endometriosis occurs in 0.03%-2% of women with a previo...
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| Format: | Article |
| Language: | English |
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Sestre Milosrdnice University hospital, Institute of Clinical Medical Research
2017-01-01
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| Series: | Acta Clinica Croatica |
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| Online Access: | https://hrcak.srce.hr/file/271992 |
| _version_ | 1797207816499363840 |
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| author | Ivka Djaković Ante Vuković Ivan Bolanča Hrvojka Soljačić Vraneš Krunoslav Kuna |
| author_facet | Ivka Djaković Ante Vuković Ivan Bolanča Hrvojka Soljačić Vraneš Krunoslav Kuna |
| author_sort | Ivka Djaković |
| collection | DOAJ |
| description | Endometriosis is a common chronic disease characterized by growth of the endometrial gland and stroma outside the uterus. Symptoms affect physical, mental and social well-being. Extrapelvic location of endometriosis is very rare. Abdominal wall endometriosis occurs in 0.03%-2% of women with a previous cesarean section or other abdominopelvic operation. Th e leading symptoms are abdominal nodular mass, pain and cyclic symptomatology. Th e number of cesarean sections is increasing and so is the incidence of abdominal wall endometriosis as a potential complication of the procedure. There are cases of malignant transformation of abdominal wall endometriosis. Therefore, it is important to recognize this condition and treat it surgically. We report a case of a 37-year-old woman with abdominal wall endometriosis 11 years after cesarean section. She had low abdominal pain related to menstrual cycle, which intensified at the end of menstrual bleeding. A nodule painful to palpation was found in the medial part of previous Pfannenstiel incision. Ultrasound guided biopsy was performed and the diagnosis of endometriosis confirmed. Surgery is the treatment of choice for abdominal wall endometriosis. Excision with histologically proven free surgical margins of 1 cm is mandatory to prevent recurrence. A wide spectrum of mimicking conditions is the main reason for late diagnosis and treatment of abdominal wall endometriosis. In our case, the symptoms lasted for eight years and had intensified in the last six months prior to surgery. |
| first_indexed | 2024-04-24T09:28:55Z |
| format | Article |
| id | doaj.art-7bedef4b154e4c60814a7e3f8ac9cb63 |
| institution | Directory Open Access Journal |
| issn | 0353-9466 1333-9451 |
| language | English |
| last_indexed | 2024-04-24T09:28:55Z |
| publishDate | 2017-01-01 |
| publisher | Sestre Milosrdnice University hospital, Institute of Clinical Medical Research |
| record_format | Article |
| series | Acta Clinica Croatica |
| spelling | doaj.art-7bedef4b154e4c60814a7e3f8ac9cb632024-04-15T14:16:36ZengSestre Milosrdnice University hospital, Institute of Clinical Medical ResearchActa Clinica Croatica0353-94661333-94512017-01-0156.1.16216510.20471/acc.2017.56.01.22Abdominal Wall Endometriosis Eleven Years After Cesarean Section: Case ReportIvka Djaković0Ante Vuković1Ivan Bolanča2Hrvojka Soljačić Vraneš3Krunoslav Kuna4Clinical Department of Gynecology and Obstetrics, Sestre milosrdnice University Hospital Center, Zagreb, CroatiaClinical Department of Gynecology and Obstetrics, Sestre milosrdnice University Hospital Center, Zagreb, CroatiaClinical Department of Gynecology and Obstetrics, Sestre milosrdnice University Hospital Center, Zagreb, CroatiaClinical Department of Gynecology and Obstetrics, Sestre milosrdnice University Hospital Center, Zagreb, CroatiaClinical Department of Gynecology and Obstetrics, Sestre milosrdnice University Hospital Center, Zagreb, CroatiaEndometriosis is a common chronic disease characterized by growth of the endometrial gland and stroma outside the uterus. Symptoms affect physical, mental and social well-being. Extrapelvic location of endometriosis is very rare. Abdominal wall endometriosis occurs in 0.03%-2% of women with a previous cesarean section or other abdominopelvic operation. Th e leading symptoms are abdominal nodular mass, pain and cyclic symptomatology. Th e number of cesarean sections is increasing and so is the incidence of abdominal wall endometriosis as a potential complication of the procedure. There are cases of malignant transformation of abdominal wall endometriosis. Therefore, it is important to recognize this condition and treat it surgically. We report a case of a 37-year-old woman with abdominal wall endometriosis 11 years after cesarean section. She had low abdominal pain related to menstrual cycle, which intensified at the end of menstrual bleeding. A nodule painful to palpation was found in the medial part of previous Pfannenstiel incision. Ultrasound guided biopsy was performed and the diagnosis of endometriosis confirmed. Surgery is the treatment of choice for abdominal wall endometriosis. Excision with histologically proven free surgical margins of 1 cm is mandatory to prevent recurrence. A wide spectrum of mimicking conditions is the main reason for late diagnosis and treatment of abdominal wall endometriosis. In our case, the symptoms lasted for eight years and had intensified in the last six months prior to surgery.https://hrcak.srce.hr/file/271992Endometriosis – pathologyAbdominal wall – pathologyCesarean section –adverse effectsCicatrixCase reports |
| spellingShingle | Ivka Djaković Ante Vuković Ivan Bolanča Hrvojka Soljačić Vraneš Krunoslav Kuna Abdominal Wall Endometriosis Eleven Years After Cesarean Section: Case Report Acta Clinica Croatica Endometriosis – pathology Abdominal wall – pathology Cesarean section –adverse effects Cicatrix Case reports |
| title | Abdominal Wall Endometriosis Eleven Years After Cesarean Section: Case Report |
| title_full | Abdominal Wall Endometriosis Eleven Years After Cesarean Section: Case Report |
| title_fullStr | Abdominal Wall Endometriosis Eleven Years After Cesarean Section: Case Report |
| title_full_unstemmed | Abdominal Wall Endometriosis Eleven Years After Cesarean Section: Case Report |
| title_short | Abdominal Wall Endometriosis Eleven Years After Cesarean Section: Case Report |
| title_sort | abdominal wall endometriosis eleven years after cesarean section case report |
| topic | Endometriosis – pathology Abdominal wall – pathology Cesarean section –adverse effects Cicatrix Case reports |
| url | https://hrcak.srce.hr/file/271992 |
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