Clinical Analysis of Abdominal Wall Endometriosis_West China Medical Journal

Authors：

 CHENChen , JIANGQin , HUANGYan ,  LIChun-mei

Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

LIChun-mei, Email: lcmwch@126.com

Keywords：

Abdominal wall; Endometriosis; Cesarean section; Therapy; Prevention

DOI：

10.7507/1002-0179.20140153

Video：

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Objective To discuss the clinical characteristics, treatment and prevention of abdominal wall endometriosis (AWE). Methods A retrospective analysis of 295 cases of AWE from February 2007 to August 2011 in our hospital was performed. Results All of the patients had abdominal operations before and 99% of them had a history of caesarean section. The mean age of the patients was (31.55±4.52) years old. The average size of the mass was (2.66±1.12) cm, significantly larger than the estimation of ultrasonography before operation which was (1.91±0.83) cm (P<0.001). No relapse was discovered five months to three years after the operation. Conclusion It is easy to diagnose abdominal wall endometriosis through medical history, clinical characteristics, physical signs and ultrasonic assessment. The prevention of AWE is very important. Operation is still the best treatment for AWE.

Citation： CHENChen, JIANGQin, HUANGYan, LIChun-mei. Clinical Analysis of Abdominal Wall Endometriosis. West China Medical Journal, 2014, 29(3): 511-513. doi: 10.7507/1002-0179.20140153 Copy

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2.	Nisolle M, Alvarez ML, Colombo M, et al. Pathogenesis of endometriosis[J]. Gynecol Obstet Fertil, 2007, 35(9):898-903.
3.	Erkan N, Haciyanli M, Sayhan H. Abdominal wall endometriomas[J]. Int J Gynaecol Obstet, 2005, 89(1):59-60.
4.	Nominato NS, Prates LF, Lauar I, et al. Caesarean section greatly increases risk of scar endometriosis[J]. Eur J Obstet Gynecol Reprod Biol, 2010, 152(1):83-85.
5.	郭政, 张润香, 郭皓靖, 等. 剖宫产率及剖宫产指征20年回顾[J]. 中国妇幼保健, 2012, 27(20):3089-3092.
6.	郎景和. 子宫内膜异位症研究的新里程[J]. 中华妇产科杂志, 2005, 40(1):3-4.
7.	Gunes M, Kayikcioglu F, Ozturkoglu E, et al. Incisional endometriosis after cesarean section, episiotomy and other gynecologic procedures[J]. J Obstet Gynaecol Res, 2005, 31(5):471-475.
8.	Winkler RE, Iraci JC, Cassell LS, et al. Abdominal wall endometrioma following caesarean section[J]. ANZ J Surg, 2002, 40(1):17-18.
9.	Singh KK, Lessells AM, Adam DJ, et al. Presentation of endometriosis to general surgeons:a 10-year experience[J]. Br J Surg, 1995, 82(10):1349-1351.
10.	Low RS, Jones AO, Houang M, et al. Endometriosis of the inguinal region:magnetic resonance imaging (MRI) findings[J]. Australas Radiol, 2007, 51(Suppl):B272-B275.
11.	Jain N, Goyal N, Mukherjee K, et al. Ultrasound of the abdominal wall:what lies beneath?[J]. Clin Radiol, 2013, 68(1):85-93.
12.	Park SB, Kim JK, Cho KS. Sonography of endometriosis in infrequent sites[J]. J Clin Ultrasound, 2008, 36(2):91-97.
13.	Kim JY, Kwon JE, Kim HJ, et al. Fine-needle aspiration cytology of abdominal wall endometriosis:a study of 10 cases[J]. Diagn Cytopathol, 2013, 41(2):115-119.
14.	Matthes G, Zabel DD, Nastala OCL, et al. Endometrioma of the abdominal wall following combined abdominoplasty and hysterectomy:case report and review of the literature[J]. Ann Plast Surg, 1998, 40(6):672-675.
15.	Kocakusak A, Arpinar E, Arikan S, et al. Abdominal wall endometriosis:a diagnostic dilemma for surgeons[J]. Med Princ Pract, 2005, 14(6):434-437.
16.	林琳, 王平. 腹壁切口子宫内膜异位症112例临床分析[J].四川大学学报, 2009, 40(9):568-569.

1. Aziz Z, Wang D. Fine-needle aspiration biopsy of endometriosis of the abdominal wall:a potential diagnostic pitfall[J]. Diagn Cytopathol, 2011, 39(6):443-445.
2. Nisolle M, Alvarez ML, Colombo M, et al. Pathogenesis of endometriosis[J]. Gynecol Obstet Fertil, 2007, 35(9):898-903.
3. Erkan N, Haciyanli M, Sayhan H. Abdominal wall endometriomas[J]. Int J Gynaecol Obstet, 2005, 89(1):59-60.
4. Nominato NS, Prates LF, Lauar I, et al. Caesarean section greatly increases risk of scar endometriosis[J]. Eur J Obstet Gynecol Reprod Biol, 2010, 152(1):83-85.
5. 郭政, 张润香, 郭皓靖, 等. 剖宫产率及剖宫产指征20年回顾[J]. 中国妇幼保健, 2012, 27(20):3089-3092.
6. 郎景和. 子宫内膜异位症研究的新里程[J]. 中华妇产科杂志, 2005, 40(1):3-4.
7. Gunes M, Kayikcioglu F, Ozturkoglu E, et al. Incisional endometriosis after cesarean section, episiotomy and other gynecologic procedures[J]. J Obstet Gynaecol Res, 2005, 31(5):471-475.
8. Winkler RE, Iraci JC, Cassell LS, et al. Abdominal wall endometrioma following caesarean section[J]. ANZ J Surg, 2002, 40(1):17-18.
9. Singh KK, Lessells AM, Adam DJ, et al. Presentation of endometriosis to general surgeons:a 10-year experience[J]. Br J Surg, 1995, 82(10):1349-1351.
10. Low RS, Jones AO, Houang M, et al. Endometriosis of the inguinal region:magnetic resonance imaging (MRI) findings[J]. Australas Radiol, 2007, 51(Suppl):B272-B275.
11. Jain N, Goyal N, Mukherjee K, et al. Ultrasound of the abdominal wall:what lies beneath?[J]. Clin Radiol, 2013, 68(1):85-93.
12. Park SB, Kim JK, Cho KS. Sonography of endometriosis in infrequent sites[J]. J Clin Ultrasound, 2008, 36(2):91-97.
13. Kim JY, Kwon JE, Kim HJ, et al. Fine-needle aspiration cytology of abdominal wall endometriosis:a study of 10 cases[J]. Diagn Cytopathol, 2013, 41(2):115-119.
14. Matthes G, Zabel DD, Nastala OCL, et al. Endometrioma of the abdominal wall following combined abdominoplasty and hysterectomy:case report and review of the literature[J]. Ann Plast Surg, 1998, 40(6):672-675.
15. Kocakusak A, Arpinar E, Arikan S, et al. Abdominal wall endometriosis:a diagnostic dilemma for surgeons[J]. Med Princ Pract, 2005, 14(6):434-437.
16. 林琳, 王平. 腹壁切口子宫内膜异位症112例临床分析[J].四川大学学报, 2009, 40(9):568-569.

West China Medical Journal

Clinical Analysis of Abdominal Wall Endometriosis

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