Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2020 Sep 9;2020(9):rjaa360.
doi: 10.1093/jscr/rjaa360. eCollection 2020 Sep.

Endometriosis of the rectus abdominis muscles: a rare case of dual location

Affiliations
Case Reports

Endometriosis of the rectus abdominis muscles: a rare case of dual location

Saad Slaiki et al. J Surg Case Rep. .

Abstract

Endometriosis of the abdominal wall is a rare entity, the etiopathogenesis remains unclear. It most often occurs after gynecological or obstetric surgery. We report the case of a patient with a dual localization of endometriosis in the abdominal wall, the diagnosis was made by abdominal CT scan. The treatment was surgical. The pathology study confirmed the diagnosis of parietal endometriosis. The postoperative course was uneventful with a favorable outcome for 2 years without recurrence. Through our case, we will discuss the characteristics of this entity in order to understand the interest of an early diagnosis and management to deduce possible means of prevention during each gynecological or obstetric surgery.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Axial computed tomography scan revealing (a) nodular hypertrophy of the lower left rectus abdominus, (b) mass of 2.1 × 1.7 cm in the left iliac fossa in touch with the rectus muscle.
Figure 2
Figure 2
(a) surgical specimen of rectus abdominis endometrioma, (b) surgical specimen of subcutaneous left iliac fossa endometrioma.
Figure 3
Figure 3
The use of a polypropylene mesh after R0 resection with significant defect in the aponeurosis.
Figure 4
Figure 4
Endometrial glands surrounded by stroma (HE, ×200).

References

    1. Toullalan O, Baqué P, Benchimol D, Bernard JL, Rahili A, Gillet JY, et al. . Endométriose des muscles grands droits de l’abdomen. /data/revues/00033944/v0125i09/00000146/. https://www.em-consulte.com/en/article/5139 (16 February 2020, date last accessed). - PubMed
    1. Bouhout T, Serji B, Egyir EU, Amri BE, Bouhout I, Soufi M, et al. . L’endométriose de la paroi abdominale: à propos d’un cas. Pan Afr Med J 2018;31.
    1. Amato M, Levitt R. Abdominal wall endometrioma: CT findings. J Comput Assist Tomogr 1984;8:1213–4. - PubMed
    1. Jayi S, Laadioui M, Bouguern H, Chaara H, Melhouf A. L’endométriose de la paroi abdominale: à propos d’un cas rare. Pan Afr Med J 2013;15:86. - PMC - PubMed
    1. Audebert A. Les endométrioses iatrogènes de la femme avant la ménopause : principaux enjeux. 2013. https://www.em-consulte.com/en/article/810125 (20 February 2020, date last accessed). - PubMed

Publication types