Published online May 16, 2014. doi: 10.12998/wjcc.v2.i5.133
Revised: January 24, 2014
Accepted: April 11, 2014
Published online: May 16, 2014
AIM: To evaluate endometrioma located at cesarean scatrix.
METHODS: Medical data of 6 patients who presented to our institution with abdominal wall endometrioma were evaluated retrospectively and reviewed literature in this case series. The diagnostic approaches and treatment is discussed.
RESULTS: All patients had a painful mass located at abdominal scars with history of cesarean section. The ages ranged from 31 to 34 and Doppler ultrasonography (US) detected hypoechoic mass with a mean diameter of 30 mm. Initial diagnosis was endometrioma in 4 and incisional hernia in 2 of 6 patients. Treatment was achieved with surgical excision in 5 patients, and one is followed by hormone suppression therapy with gonadotropin.
CONCLUSION: Malignant or benign tumors of abdominal wall and incisional hernias should be kept in mind for diagnosis of endometrioma. Imaging methods like doppler US, computed tomography and magnetic resonance imaging should be used for differential diagnosis. Definitive diagnosis can only be made histopathologically. The treatment should be complete surgical excision and take care against intraoperative auto-inoculation of endometrial tissue in order to prevent recurrences.
Core tip: This is a case series about endometrioma located at cesarean scatrix. We present 6 patients who have painful abdominal mass of endometrioma. Medical data of 6 patients who admitted to our institution with abdominal wall endometrioma were evaluated respectively in this study. The diagnostic approaches and treatment is discussed and recommended.