Parietal endometriosis in Pfannenstiel incision
DOI:
https://doi.org/10.31837/cir.urug/10.1.8Keywords:
Abdominal wall endometriosis, Cyclic abdominal wall pain, Extrapelvic manifestations of endometriosisAbstract
Introduction: Endometriosis is a chronic disease affecting 3-10% of women of reproductive age. The most frequent location is the pelvis, but extrapelvic sites can also occur, involving the abdominal wall, peritoneum, urinary tract, intestine, colon, and thorax.(1)
Endometriosis of the abdominal wall is a rare entity and difficult to diagnose due to its nonspecific symptoms.
Objective: To describe a clinical case of a rare pathology: parietal endometriosis following gynecological and obstetric surgery.
Setting: Hospital Pasteur, Montevideo, Uruguay.
Design: Clinical case.
Case description: Female, 27 years old, with a gynecological and obstetric history of two pregnancies, one vaginal delivery and one cesarean section via Pfannenstiel incision five years prior to consultation. Consultation for a 3 cm, solid, slow-growing mass at the Pfannenstiel incision site, present for 4 years, with cyclical pain coinciding with menstrual cycles and no signs of inflammation or infection.
As a result of clinical and imaging evaluation, foci of endometriosis were diagnosed in the abdominal wall, subsequently confirmed by histopathological examination of the specimen.
Conclusion: Post-surgical abdominal wall endometriosis is a rare disease that occurs in young patients who have undergone gynecological and obstetric surgeries. It is difficult to diagnose due to its nonspecific clinical manifestations; therefore, a high index of suspicion should be maintained in patients with a surgical history associated with cyclical pain at the incision site.
Downloads
References
1.Evsen MS, Sak ME, Yalinkaya A, Firat U, Caca FN. A case of bifocal endometriosis involving a Pfannenstiel incision. Ginekol Pol. 2011;82(1):71-3.
2.Ozel L, Sagiroglu J, Unal A, Unal E, Gunes P, Baskent E, et al. Abdominal wall endometriosis in the cesarean section surgical scar: a potential diagnostic pitfall. J Obstet Gynaecol Res. 2012;38(3):526-30. doi: 10.1111/j.1447-0756.2011.01739.x.
3.Paramythiotis D, Karlafti E, Tsomidis I, Iraklis G, Malliou P, Karakatsanis A, et al. Abdominal wall endometriosis: a case report. Pan Afr Med J. 2022;41:193. doi: 10.11604/pamj.2022.41.193.33536.
4.Sahin L, Dinçel O, Türk BA. Rectus abdominal muscle endometriosis in a patient with cesarian scar: case report. Clin Exp Obstet Gynecol. 2013;40(4):599-600.
5.Kido A, Himoto Y, Moribata Y, Kurata Y, Nakamoto Y. MRI in the Diagnosis of Endometriosis and Related Diseases. Korean J Radiol. 2022;23(4):426-45. doi: 10.3348/kjr.2021.0405.
6.Gupta P, Gupta S. Scar Endometriosis: a Case Report with Literature Review. Acta Med Iran. 2015;53(12):793-5.
7.Sharmila V, Kamatham V, Shankaralingappa A. Abdominal scar endometriosis: A case report and review of literature. Indian J Pathol Microbiol. 2023;66(4):871-3. doi: 10.4103/ijpm.ijpm_460_22.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Florencia Echeverry, Facundo Rodríguez, Santiago Morandi, Nicolas Ramos, Jorge Curi
This work is licensed under a Creative Commons Attribution 4.0 International License.
All articles, videos and images published in Revista Cirugía del Uruguay are under the Creative Commons CC licenses, which is a complement to the traditional copyright, in the following terms: first, the authorship of the referred document must always be acknowledged and secondly none of the article or work published in the journal may have commercial purposes of any nature. The authors retain their copyrights and give the magazine the right of first publication of their work, which will be simultaneously subject to the Creative Commons Attribution-NonCommercial 4.0 International License license that allows the work to be shared whenever the initial publication is indicated in this journal.
