Abstract
SUMMARY Background: The presence of abdominal wall endometriosis (AWE) used to be confused with other surgical pathologies that may appear in these zones. Objective: To evaluate the AWE clinical characteristics. Method: Retrospective study of all the patients hospitalized with the histopathologycal diagnosis of AWE, between January 1997 and December 2005. Results: There was found AWE only in 14 patients. Their mean age was 33.2 years old. The symptoms were: cyclic pain (71.4%), abdominal wall mass (100%), dyspareunia (21.4%) and dysmenorrhea (42.8%). All patients had at least one gynecologic (2 patients with laparoscopic procedures) or obstetric surgery (85.7% had previous cesarean section). Only one patient had previously been diagnosed with pelvic endometriosis. Their symptoms started after an average of 3.5 years after surgery. The AWE had a mean size of 3.2 cm. The preoperative diagnosis was correct in 64.3%. The incorrect preoperative diagnoses were 3 granuloma, 1 inguinal hernia and 1 lipoma. All patients required surgery. 64.3% of the patients it was necessary a polytetrafluoethylene mesh. Four patients (28.5%) had AWE recurrences. 60% of the wrong initial diagnosis recurred versus 11.1% of the
Highlights
abdominal wall endometriosis (AWE) may be present in gynecologic or obstetric scars
De las pacientes con diagnóstico pre operatorio incorrecto, 60% presentó recurrencias comparado con el 11,1% de recurrencias en el grupo con diagnóstico inicial correcto, donde se realizaron cirugías con escisión amplia y límites libres de endometriosis
Cystadenocarcinoma of the abdominal wall following caesarean section: case report and review of the literature
Summary
Antonio Carvajal M.1, Italo Braghetto M.2 , Rodrigo Carvajal G.3 , Cristián Miranda V.1. One patient had previously been diagnosed with pelvic endometriosis Their symptoms started after an average of 3.5 years after surgery. Conclusion: AWE may be present in gynecologic or obstetric scars Their common symptoms are masses with cyclic pain. The correct preoperative diagnosis is important to plan surgery and reduce recurrences. Los endometriomas de la pared abdominal (EPA) usualmente son procesos secundarios a cicatrices quirúrgicas ginecoobstétricas, como es la cicatriz de la cesárea [4]. Cuando se plantea el diagnóstico clínico, frecuentemente se confunde con otras masas que se localizan en la pared abdominal: lipomas, granulomas de suturas, hernias incisionales, quistes sebáceos, hematomas, sarcomas o metástasis [3,5]. En el presente estudio hacemos una revisión de la historia clínica de catorce pacientes con EPA, haciendo especial énfasis en la presentación clínica, diagnóstico diferencial, tratamiento y evolución
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