TITLE:
Abdominal Wall Endometriomas at Cesarean Section Scars: A Case Series
AUTHORS:
Kathryn Wampler, Bailey Harwager, Kimberly Michael
KEYWORDS:
Endometriosis, Endometrioma, Abdominal Wall Endometrioma, Cesarean Section Scar, Sonography
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.7 No.8,
August
2,
2017
ABSTRACT:
Endometriosis, a common gynecological condition, is defined as the presence
of functioning endometrial tissue outside the uterine cavity. It often presents
as a cyclic, hormonally stimulated pain in women during their reproductive
years. While endometriosis is usually located within the pelvis, it may also
occur at intraperitoneal, intestinal, perineal, and distant ectopic sites. Although
often diffuse, a localized, focal mass of endometrial tissue is termed as an endometrioma.
In rare occurrences, an endometrioma will present superficially
to the peritoneum within the abdominal wall following gynecologic or obstetric
surgery. The presence of an abdominal wall endometrioma within a cesarean
section scar may pose a diagnostic dilemma, which is often misdiagnosed,
and results in surgery referrals for treatment. The clinical symptoms
and sonographic appearance of abdominal wall endometriomas occurring at
cesarean section scars are highlighted in this case series.