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. 2016 Nov-Dec;57(6):329-333.
doi: 10.4103/0300-1652.193858.

Abdominal wall endometrioma: Our experience in Vladimir, Russia

Mahir Gachabayov  1 , Roman Horta  2 , Dmitriy Afanasyev  3 , Timur Gilyazov  4
Affiliations

Abdominal wall endometrioma: Our experience in Vladimir, Russia

Mahir Gachabayov et al. Niger Med J. 2016 Nov-Dec.

Abstract

Background: Endometriosis is defined as an estrogen-dependent, benign inflammatory disease characterized by the presence of ectopic endometrial implants. Abdominal wall endometrioma (AWE) being a rare entity is a benign tumor defined as ectopic functional, endometrial tissue located in the abdominal wall.

Subjects and methods: A retrospective study of 23 female patients treated with AWE in four departments of three centers in Vladimir city, Russia, from January 2010 to December 2014 was performed.

Results: In twenty patients (87%), AWE was symptomatic, and in three patients (13%), AWE was asymptomatic. Esquivel triad presented in 17 patients (74%), and modified Esquivel triad existed in 20 patients (87%). All 23 patients were operated, and AWE excision was performed. Recurrence occurred in 4 cases (17.4%) and was associated with postoperative pain and seroma.

Conclusion: Postoperative pain for more than 7 days and seroma (on ultrasonography) seem to be associated with recurrence of AWE.

Keywords: Abdominal wall endometrioma; endometriosis; recurrence; seroma; surgical excision.

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Figures

Figure 1
Figure 1
The interval from index surgery to the presentation of symptoms related to age
Figure 2
Figure 2
(a) The specimen of small abdominal wall endometrioma. (b) Histology of endometrioma showing endometrial glands and stroma
Figure 3
Figure 3
(a) The specimen of medium abdominal wall endometrioma. (b) Histology of abdominal wall endometrioma showing endometrial glands and stroma
Figure 4
Figure 4
The correlation between the interval from index surgery to the onset of abdominal wall endometrioma, the age, and the size of endometrioma
See this image and copyright information in PMC

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