Asian Journal of Case Reports in Surgery

Intramuscular Abdominal Wall Endometriosis: A Case Study

Salaheddine El Massi *

Department of General Surgery, University Hospital Centre Ibn Rochd, Casablanca, Morocco and Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.

Amal Hajri

Department of General Surgery, University Hospital Centre Ibn Rochd, Casablanca, Morocco and Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.

Karim Yaqine

Department of General Surgery, University Hospital Centre Ibn Rochd, Casablanca, Morocco and Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.

Driss Errguibi

Department of General Surgery, University Hospital Centre Ibn Rochd, Casablanca, Morocco and Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.

Rachid Boufettal

Department of General Surgery, University Hospital Centre Ibn Rochd, Casablanca, Morocco and Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.

Saad Rifki El Jai

Department of General Surgery, University Hospital Centre Ibn Rochd, Casablanca, Morocco and Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.

Farid Chehab

Department of General Surgery, University Hospital Centre Ibn Rochd, Casablanca, Morocco and Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.

*Author to whom correspondence should be addressed.

---

Abstract

Abdominal wall endometriosis is the most common site of extra-pelvic disease, the pathophysiology of which remains unclear. Most of the cases are secondary to gynecologic surgery or obstetrical care. We report a case of a young woman suffering of cyclic right iliac fossa pain. Clinical finding are a deep hard and mobile nodule. Parietal ultrasound identified a hypoechogenic superficial nodule within the rectus muscle measuring 20x08 mm. MRI confirmed parietal endometriosis diagnosis. Surgery has been performed with histologic confirmation of parietal endometriosis. The postoperative period was uneventful. Parietal endometriosis remains a rare entity that required an early diagnosis and management of this entity to prevent during each gynecological or obstetrical surgery.

Keywords: Obstetrical surgery, endometriosis, hypoechogenic superficial nodule, pelvic disease

---

---

---

References

Kaunitz A, Di Sant’Agnese PA. Needle tract endometriosis: An unusual complication of amniocentesis. Obstet Gynecol. 1979;54:753–5.

Hughes ML, Bartholomew D, Paluzzi M. Abdominal wall endometriosis after amniocentesis. A case report. J Reprod Med. 1997;42:597–9.

Abdominal wall endometrioma following cesarean delivery: A case report. J Reprod Med. 2008;53(11):881-2.

Tomas E, Martin A, Garfia C, Sanchez Gomez F,Morillas JD, Castellano Tortajada G, et al. Abdominal wall endometriosis in absence of previous surgery. J Ultrasound Med. 1999;18:373–4.

Bektas H, Bilsel Y, Sarı YS, et al. Abdominal wall endometrioma; a 10-year experience and brief review of the literature. J Surg Res. 2010;164:0–81.

Khachani I, Filali Adib A, Bezad R. Cesarean scar endometriosis: An uncommon surgical complication on the rise? Case report and literature review. Case Rep Obstet Gynecol. 2017;8062924.

Blanco RG, Parithivel VS, Shah AK, Gumbs MA, Schein M, Gerst PH. Abdominal wall endometriomas. Am J Surg. 2003;185:596-8.

Zhao X, Lang J, Leng J, Liu Z, Sun D,Zhu L.Abdominal wall endometriomas. Int J Gynaecol Obstet. 2005;90:218-22.

Elabsi M, Lahlou MK, Rouas L, Essadel H, Benamer S, Mohammadine A, et al. L’endométriose cicatricielle de la paroi abdominale. Ann Chir. 2002;127:65–7.

Patterson GK, Winburn GB. Abdominal wall endometriomas: Report of eight cases. Am Surg. 1999;65:36–9.

Emre A, Akbulut S, Yilmaz M, Bozdag Z. Laparoscopic trocar Port site endometriosis: A case report and brief literature review. Int Surg. 2012;97(2): 135-9.

Bumpers HL, Butler KL, Best IM. Endometrioma of the abdominal wall. Am J Obstet Gynecol. 2002;187:1709–10.

Solak A, Genc B, Yalaz S, Sahin N, Sezer TO, Solak I. Abdominal wall endometrioma: Ultrasonographic features and correlation with clinical findings. Balkan Med J. 2013;30(2):155-60.

V Selak 1, C Farquhar, A Prentice, A Singla.Danazol for pelvic pain associated with endometriosis. Cochrane Database Syst Rev. 2000;2:CD000068.

Collins AM, Power KT, Gaughan B, Hill AD, Kneafsey B. Abdominal wall reconstruction for a large caesarean scar endometrioma. Surgeon. 2009;7:252–253.