Abstract
to study the characteristics of women undergoing abdominal surgery with suspected abdominal wall endometriosis or abdominal wall tumor, and to assess the association with age, race and previous cesarean delivery. retrospective and analytical study carried out from January 2000 to December 2019, at the General Surgery Service of Hospital Universitário Antônio Pedro (HUAP) at Universidade Federal Fluminense (UFF). Medical records of 100 patients with abdominal wall endometriosis and other types of abdominal wall tumors were analyzed. Age, color, previous history of cesarean section or abdominal surgery and histopathological data were verified. The patients were classified as young adults (aged between 18 and 28 years and 11 months) and adults. The SPSS program was used for data analysis, Fisher's test with a significance level of 0.05. abdominal wall endometriosis with histopathological confirmation was found in 22%, the mean age was 52.28 ± 18.66 which was lower when compared to other diagnoses. There was an association between previous cesarean section and abdominal wall endometriosis (p <0.005). the women with a diagnosis of abdominal wall endometriosis had undergone previous cesareans (the majority) and were in an active reproductive age. Although the brown skin women were the most frequent, there was no statistical difference.
Highlights
Abdominal wall endometriosis is a rare disease[1] characterized by the presence of endometrial tissue in any segment or depth of the abdominal wall, that is, outside the endometrium and myometrium
We observed that patients with abdominal wall endometriosis had lower age compared with the ones with other diagnoses, and had undergone prior caesarean section
We could infer that abdominal wall endometriosis is related to previous cesarean section
Summary
Abdominal wall endometriosis is a rare disease[1] characterized by the presence of endometrial tissue in any segment or depth of the abdominal wall, that is, outside the endometrium and myometrium. Endometriosis usually affects women in the reproductive age group, with a maximum incidence in the third and fourth decades[5]. A study carried out in 2007 showed that early hysterotomy, associated with interrupted pregnancy using the procedure known as microcesarean section, is highly related to the development of endometriosis when compared with cesarean section performed at the end of pregnancy[9]. This factor is directly associated with the theory that the endometrium of early pregnancy is more
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