Clinical manifestations of abdominal wall endometriosis: a single center experience

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This retrospective study investigated 37 women treated for abdominal wall endometriosis, finding palpable mass and pain to be the most common symptoms, and wide excision with adequate preoperative estimation as essential for treatment.

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Materials and methods

Patients diagnosed with AWE at the Gil Medical Center from January 2002 to September 2010 were retrospectively reviewed.

Results

Thirty-seven women were treated for AWE during the study period. Median age was 34 (range 24-45) years, and median duration from last pelvic surgery until symptom onset was 30 (range 6-96) months. The most common initial symptom was a palpable mass (36, 97.2 %), followed by cyclic or spontaneous pain (21, 56.8 %). Preoperative diagnoses were accurate in 20 of 29 patients (68.9 %), who underwent a preoperative imaging study. The accuracy of abdominal US was 80 % (12/15). All patients underwent wide excision, and the median tumor size was 3.5 (range 1.0-10.0) cm. One patient experienced recurrence at 34 months postoperatively.

Conclusions

Physicians should be aware of AWE in any woman presenting with palpable mass and/or pain at the abdominal wall, especially after pelvic surgery. Adequate preoperative estimation and wide excision might be essential for the treatment of AWE. - Appears in Collections: - 1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers - Yonsei Authors - Kang, Jeonghyun(강정현) https://orcid.org/0000-0001-7311-6053 Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

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Condition tags

mesh:D004715endometriosis

MeSH descriptors

Abdominal Wall Abdominal Wall Abdominal Wall Abdominal Wall Endometriosis Postoperative Complications Adult Cesarean Section Endometriosis Endometriosis Endometriosis Female Follow-Up Studies Humans Middle Aged Postoperative Complications Postoperative Complications Retrospective Studies Treatment Outcome Ultrasonography

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europepmc
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