Diagnosis and Management of Abdominal Wall Endometriosis: A Systematic Review and Clinical Recommendations

Noah B Rindos, Noah Rindos, Suketu Mansuria
Obstetrical & gynecological survey · 2017 · vol. 72(2) , pp. 116–122 · doi:10.1097/ogx.0000000000000399 · PMID:28218772 · W2588698508
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This review systematically examines diagnostic and management strategies for abdominal wall endometriosis, recommending surgical excision for complete lesion removal to prevent recurrence.

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Abstract

IMPORTANCE: Abdominal wall endometriosis (AWE) is a rare but easily treated cause of pain in women, especially those who have undergone cesarean deliveries. OBJECTIVE: This article reviews the diagnosis and management of AWE, a condition that generally develops after surgery but may arise spontaneously. We present a systematic review of the existing literature on AWE, as well as our clinical recommendations for medical and surgical management. EVIDENCE ACQUISITION: We searched PubMed and other databases using the search criteria "abdominal wall endometriosis," "abdominal wall endometriomas," and "abdominal wall mass." The references of those articles were then reviewed, and additional publications were evaluated. RESULTS: Many case reports and case series have been published describing AWE. The overall quality of evidence is poor due to the lack of prospective studies and heterogeneous descriptions of AWE lesions and treatment options. Based on the available literature, it appears that AWE may arise spontaneously but is generally associated with prior pelvic surgery. Abdominal wall endometriosis can be diagnosed with a careful history and physical examination. Imaging including ultrasound and magnetic resonance imaging can assist with localization of the lesions, and aid in surgical excision and management. Lesions that have been removed in their entirety are unlikely to reoccur. CONCLUSIONS AND RELEVANCE: Although limited, the body of literature describing management of AWE suggests that it can be successfully treated in most patients with careful surgical planning.

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Condition tags

mesh:D004715endometriosis

MeSH descriptors

Abdominal Wall Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Abdominal Wall Disease Management Dissection Dissection Female Humans Medical History Taking Medical History Taking Physical Examination Physical Examination

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (24)

Cited by (50)

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License: CC0 · commercial use OK