Recidiva de endometriosis en pared abdominal. Reporte de caso |
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Authors: | G.A. Domínguez Alvarado D. D’vera Camargo J. Leal Bernal D.C. Reyes Espinel C.J. Rueda García L.E. López Gómez |
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Affiliation: | 1. Centro Elite, Foscal Internacional, Grupo de Innovación e investigación quirúrgica – GIIQ, Bucaramanga, Santander, Colombia;2. Semillero Innovación e Investigación en Cirugía (SIIC), Universidad Autónoma de Bucaramanga, Santander, Colombia;3. Departamento de Cirugía, Universidad Autónoma de Bucaramanga, Fundación oftalmológica de Santander – Clínica Ardila Lulle FOSCAL, Centro Elite. Bucaramanga, Santander, Colombia |
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Abstract: | IntroductionAbdominal wall endometriosis is an uncommon pathology, which usually develops in a surgical scar following a gynaecological and/or gynaecological-obstetric procedure.Case studyFemale, 29 years old, G3C2A1V2, history of surgical sterilization. One year after her last cesarean section, she presented with chronic pelvic pain associated with the menstrual cycle, accompanied by heavy menstrual bleeding and a sensation of a mass in the hypogastrium. She was diagnosed with endometriosis in the abdominal wall, and resection was performed. However, one year after the procedure, the endometriosis in the abdominal wall recurred, this time requiring wide fascia resection, mesh placement and layered closure.ConclusionsAbdominal wall endometriosis is difficult to diagnose, since it is a comparatively infrequent entity, which has not received adequate attention. It is important to suspect it in women with cyclic abdominal pain and the presence of a mass in the abdominal wall, in addition to the use of diagnostic imaging. Surgical resection is the ideal treatment, however, it is important to emphasize the importance of a wide margin resection to avoid recurrence. Layered closure is also important to avoid defects in the abdominal wall. |
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Keywords: | Extrapelvic endometriosis Abdominal wall Cesarean section Excision margins |
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