TY - JOUR
T1 - Abdominal wall endometriosis
T2 - a surgeon's perspective and review of 445 cases
AU - Horton, John D.
AU - DeZee, Kent J.
AU - Ahnfeldt, Eric P.
AU - Wagner, Michel
PY - 2008/8
Y1 - 2008/8
N2 - 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.
AB - 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.
KW - Abdominal wall endometriosis
KW - Cutaneous endometriosis
KW - Ectopic endometriosis
KW - Extrapelvic endometriosis
KW - Incisional endometriosis
KW - Scar endometriosis
UR - http://www.scopus.com/inward/record.url?scp=47049122225&partnerID=8YFLogxK
U2 - 10.1016/j.amjsurg.2007.07.035
DO - 10.1016/j.amjsurg.2007.07.035
M3 - Review article
C2 - 18513698
AN - SCOPUS:47049122225
SN - 0002-9610
VL - 196
SP - 207
EP - 212
JO - American Journal of Surgery
JF - American Journal of Surgery
IS - 2
ER -