Abdominal wall endometriosis: a surgeon's perspective and review of 445 cases

• Published in: The American journal of surgery Vol. 196; no. 2; pp. 207 - 212
• Main Authors: Horton, John D., M.D, DeZee, Kent J., M.D, Ahnfeldt, Eric P., D.O, Wagner, Michel, M.D
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.08.2008; Elsevier; Elsevier Limited
• Subjects: Abdomen; Abdominal Pain - etiology; Abdominal Wall - surgery; Abdominal wall endometriosis; Age; Biological and medical sciences; Cesarean Section; Cicatrix - complications; Confidence intervals; Cutaneous endometriosis; Ectopic endometriosis; Endometriosis; Endometriosis - surgery; Extrapelvic endometriosis; Female; Female genital diseases; General aspects; Gynecology. Andrology. Obstetrics; Humans; Hysterectomy; Incisional endometriosis; Medical sciences; Non tumoral diseases; Pain; Recurrence; Scar endometriosis; Surgery; United States > US; Extrapelvic endometriosis; Scar endometriosis; Abdominal wall endometriosis; Cutaneous endometriosis; Incisional endometriosis; Ectopic endometriosis; Scar; Endometriosis; Review; Surgeon; Female genital diseases; Medicine; Perspective; Treatment; Surgery; Uterine diseases; Abdominal wall; Incisional endometriosis; Scar endometriosis; Extrapelvic endometriosis; Ectopic endometriosis; Cutaneous endometriosis; Skin; Ectopia; Bibliographic review
• ISSN: 0002-9610; 1879-1883
• DOI: 10.1016/j.amjsurg.2007.07.035

Abstract Background Abdominal wall endometriosis (AWE) is defined as endometrial tissue superficial to the peritoneum. AWE often is misdiagnosed and referred to surgeons for treatment. We performed a systematic review of published cohorts to quantify demographics, symptoms, and outcomes of patients having AWE. Methods An English language PubMed search from January 1951 to August of 2006 was conducted using several search terms for endometrioma. Conclusions Twenty-nine articles describing 455 patients were identified and met inclusion criteria. The pooled mean age was 31.4 years. Ninety-six percent presented with a mass, 87% presented with pain, and 57% presented with cyclic symptoms. AWE was associated with a caesarian scar or hysterectomy in 57% and 11% of cases, respectively. The interval from index surgery to presentation was 3.6 years. Recurrence after resection was 4.3%. The most common presentation of AWE is the development of a painful mass after uterine surgery. Surgical treatment appears to result in a cure more than 95% of the time.