A case report on Spontaneous Abdominal Wall Endometriosis

Authors

  • Ummul Nusrat Zahan Consultant of Obstetrics & Gynaecology, Medix, Dhanmondi, Dhaka, Bangladesh
  • GWM Zahidul Hasan Junior Consultant, Department of Emergency Medicine, United Hospital Ltd, Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/bccj.v11i1.66034

Keywords:

Abdominal wall mass, Endometrioma, spontaneous abdominal was endometriosis

Abstract

Endometriosis is the presence of endometrial glands and stroma outside the uterus. Endometriosis is the commonest
gynaecological problem; it affects 7 to 10% women in reproductive age group. Spontaneous abdominal wall
endometriosis (AWE) is any ectopic endometrium found superficial to the peritoneum without the presence of any
previous scar. In our case study, though the patient had a caesarean section, the endometriosis developed in unscarred
area. It was located below the umbilicus in the midline, which is a common site for spontaneous abdominal
endometriomas. Initially the patient had cyclic infra-umbilical pain, gradually it became constant and severe. Due to
irregular follow up and unusual site and presentation of the lesion, it took a long time to diagnose the condition. During
operation the mass was spotted in the midline and extend up to the peritoneum. It was taken out by wide local excision.
Pathology revealed endometrial glands surrounded by a disintegrating mantle of endometrial stroma and fibrous scar
tissue in which there was a scattering of leucocytes. Spontaneous AWE is rare, accounting for 20% of all AWEs.
Spontaneous endometriomas are usually diagnosed by pathology and the treatment of choice is surgical excision

Bangladesh Crit Care J March 2023; 11 (1): 51-53

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Published

2023-05-21

How to Cite

Zahan, U. N. ., & Hasan, G. Z. . (2023). A case report on Spontaneous Abdominal Wall Endometriosis. Bangladesh Critical Care Journal, 11(1), 51–53. https://doi.org/10.3329/bccj.v11i1.66034

Issue

Vol. 11 No. 1 (2023)

Section

Case Reports

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