Abdominal wall endometriosis after caesarean section; single center experience

Abstract

Aim: In this study, we aimed to investigate the characteristics of patients who diagnosed with endometrioma in the incision scar after caesarean section and outcomes of the treatments in our center. Material and Methods: The data of this study were obtained retrospectively reviewing records of patients who diagnosed with endometriosis and who were treated in Kahramanmaraş University, Medical Faculty, Department of General Surgery between October 2014 and March 2018. Results: A total of 13 patients were included in the study and all of the patients were operated electively. The mean age of the patients included in the study was 32,15 ± 6,16. The first complaints of the patients were pain in the palpable masses. Abdominal fascia and mass excision was performed in 4 (30.8%) of the patients. In 2 of them (15.4%) defect repair was done with mesh and in 2 of them (15,4%) defect was primary sutured. In all of the patients, the operation time was less than 30 minutes. In the histopathological examination, the mean macroscopic diameter of the masses was 4.98 ± 1.65 cm. Conclusion: Abdominal wall endometrioma is an uncommon pathology whose etiopathogenesis is not clear. The severity of the disease varies individually. When the endometriosis of the abdominal wall, which usually causes severe pain, is surgically excised, dramatic relief is provided to the patients.