Abdominal Wall Endometriosis (AWE): A New Surgical  Challenge (Case Report)

Yousuf Ballalu; Husayn Alfakhakhiri; Fathe shalwi; Asmahan  Alshaykh; Mustafa Musabihah; Ahmed Aloukili

doi:10.54172/mjsc.1340

Authors

Yousuf Ballalu Department of General Surgery, Section of Oncology, Almukhili General Hospital, Libya
Husayn Alfakhakhiri Department of General Surgery, Section of Oncology, Almukhili General Hospital, Libya
Fathe shalwi Department of General Surgery, Cyrene Teaching Hospital, Libya
Asmahan Alshaykh Department of Physiology, Faculty of Medicine, University of Derna, Libya
Mustafa Musabihah Department of General Surgery, Section of Oncology, Almukhili General Hospital, Libya
Ahmed Aloukili Department of General Surgery, Section of Oncology, Almukhili General Hospital, Libya

DOI:

https://doi.org/10.54172/mjsc.1340

Keywords:

Abdominal Wall, Endometrioma, Endometriosis, surgery

Abstract

Endometriosis is defined as the appearance of functional uterine tissue that responds to hormonal stimuli in tissues other than the uterine cavity. Typically, the pelvic cavity is where endometriosis is found. The anterior abdominal wall, bone, adrenal glands, eyes, and heart are all occasionally involved in extrapelvic cases. The most typical symptom of extrapelvic endometriosis is abdominal wall involvement. There appears to be a strong correlation between pre-existing surgical scars and the presence of endometriomas within the abdominal wall. In cases when female patients exhibit a cyclically painful abdominal wall mass, it is crucial to maintain a heightened level of suspicion for endometrioma, particularly if there is a history of prior gynecologic surgery. The differential diagnosis may provide greater challenges when abdominal wall endometriomas are situated at a distance from the scar, as is commonly observed following Pfannenstiel's laparotomic incision. Many of these lesions can be distinguished by MRI, and intraoperative frozen section histological confirmation should be obtained to enable an oncological resection if necessary.

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