CASE REPORTS   

Chirurgia 2006 August;19(4):303-6

Copyright © 2006 EDIZIONI MINERVA MEDICA

language: English

Incisional endometrioma

Cordova A., Di Lorenzo S., Corradino B., Tripoli M., Moschella F.

Dipartimento di Discipline Chirurgiche ed Oncologiche Sezione di Chirurgia Plastica e Ricostruttiva Università di Palermo, Palermo

In the past few years, due to an increase in the number of caesarean sections or laparoscopic gynaecological procedures, there has also been an increase in the number of cases of endometriosis on surgical scars in the abdominal wall and in the perineal region. The incidence of endometriomas is probably higher than stimated. The authors report their own experience on 3 cases of extrapelvic endometriosis, two in the abdominal wall and one in the perineal region, found in a short period (26 months) at the division of Plastic and Reconstruction Surgery of University of Palermo. The patients treated, aged 32 to 46, had undergone gynaecological surgery (2 caesarean sections and 1 laparoscopic hysterectomy), after which a mass had appeared on the surgical wound, together with pain tending to become acute in the menstrual period. Thorough anamnesis and the use of instrumental investigations (echography and NMR) made it possible to formulate a presumptive diagnosis and to plan surgery, which is the therapy of choice for these lesions. Extrapelvic endometriosis is today less rare than it reported in official statistics and must be considered as the possible differential diagnosis in women in fertile age with an abdominal wall or perineal mass and positive anamnesis for previous gynaecological procedures.