KUMJ | VOL. 15 | NO. 2 | ISSUE 58 | APRIL-JUNE 2017
Abdominal Wall Scar Endometrioma
Jackson A, Smith J, Shrestha BM
Abstract: Abdominal wall scar endometrioma is an uncommon clinical entity, which presents
with lump and cyclical abdominal pain during menstruation, which develops after
caesarean section or gynaecological procedures. Differential diagnosis includes a
haematoma, desmoid tumour, incisional hernia, sarcoma, metastatic malignancies
and suture granuloma. Adenocarcinoma developing from abdominal wall scar
endometrioma are aggressive and carry poor prognosis. An awareness of this
clinical entity is important to establish its diagnosis early and ultrasound scan,
magnetic resonance scan, or a computerised tomographic-guided localization
followed by surgical excision provides best outcome. Here in, a case of abdominal
wall scar endometrioma is reported and review of pertinent literature is presented.
Keyword : Caesarean section, diagnosis, endometrioma, scar, treatment
