Abdominal wall endometriosis: a surgeon's perspective and review of 445 cases

John D. Horton, Kent J. DeZee, Eric P. Ahnfeldt, Michel Wagner

Research output: Contribution to journalReview article

144 Citations (Scopus)

Abstract

Background: Abdominal wall endometriosis (AWE) is defined as endometrial tissue superficial to the peritoneum. AWE often is misdiagnosed and referred to surgeons for treatment. We performed a systematic review of published cohorts to quantify demographics, symptoms, and outcomes of patients having AWE. Methods: An English language PubMed search from January 1951 to August of 2006 was conducted using several search terms for endometrioma. Conclusions: Twenty-nine articles describing 455 patients were identified and met inclusion criteria. The pooled mean age was 31.4 years. Ninety-six percent presented with a mass, 87% presented with pain, and 57% presented with cyclic symptoms. AWE was associated with a caesarian scar or hysterectomy in 57% and 11% of cases, respectively. The interval from index surgery to presentation was 3.6 years. Recurrence after resection was 4.3%. The most common presentation of AWE is the development of a painful mass after uterine surgery. Surgical treatment appears to result in a cure more than 95% of the time.

Original languageEnglish (US)
Pages (from-to)207-212
Number of pages6
JournalAmerican journal of surgery
Volume196
Issue number2
DOIs
StatePublished - Aug 1 2008

Fingerprint

Abdominal Wall
Endometriosis
Peritoneum
Diagnostic Errors
Hysterectomy
PubMed
Cicatrix
Surgeons
Language
Demography
Recurrence
Pain
Therapeutics

Keywords

  • Abdominal wall endometriosis
  • Cutaneous endometriosis
  • Ectopic endometriosis
  • Extrapelvic endometriosis
  • Incisional endometriosis
  • Scar endometriosis

ASJC Scopus subject areas

  • Surgery

Cite this

Abdominal wall endometriosis : a surgeon's perspective and review of 445 cases. / Horton, John D.; DeZee, Kent J.; Ahnfeldt, Eric P.; Wagner, Michel.

In: American journal of surgery, Vol. 196, No. 2, 01.08.2008, p. 207-212.

Research output: Contribution to journalReview article

Horton, John D. ; DeZee, Kent J. ; Ahnfeldt, Eric P. ; Wagner, Michel. / Abdominal wall endometriosis : a surgeon's perspective and review of 445 cases. In: American journal of surgery. 2008 ; Vol. 196, No. 2. pp. 207-212.
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