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Endometriosis Within the Rectus Muscle and Cesarean Scar: Analysis of 21 Cases and Assessment Potential of Malignancy
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Original Article
VOLUME: 50 ISSUE: 3
P: 245-249
2017

Endometriosis Within the Rectus Muscle and Cesarean Scar: Analysis of 21 Cases and Assessment Potential of Malignancy

Acta Haematol Oncol Turc 2017;50(3):245-249
DOI: 10.5505/aot.2017.62634
Ahmet Karayiğit
Mehmet Akif Üstüner
Haluk Pulat
Cihangir Özarslan
1. Dr.Abdurrahman Yurtaslan Oncology Education and Research Hospi̇tal,Department Of General Surgery, Ankara, Turkey
2. Dr. Abdurrahman Yurtaslan Oncology Education and Research Hospi̇tal, Departman of Pathology, Ankara, Turkey
3.
No information available.
No information available
Received Date: 2016-12-23T09:58:47
Accepted Date: 2017-12-19T15:25:53
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Abstract

INTRODUCTION

Endometriosis is characterized by the growth of endometrial tissue outside the uterus. Although it most frequently localized in the ovaries, it can affect every organ in the abdomen from the appendix to the liver. It is rarely seen in the cesarean scar(c/s) or rectus muscle. Herein, we report 21 case of endometriosis within the rectus muscle and cesarean scars.

METHODS

Between 2008 and 2015,a total of 21 patients who were operated for the mass within the rectus muscle or cesarean scar in the abdominal wall and whose pathological result was consisted with endometriosis were retrospectively analyzed.

RESULTS

Median age of women in the study group was 34.5(24-52). Endometriosis localisation in 11 of the patients were found on the c/s scar, in 9 of them were on the rectus abdominis muscle, and one of them was in the umblical hernia sac. Median size of the endometriosis tissue was measured as 3.4 cm (1.8-7.5 cm) in the specimens. In our study,2 of the patients were given general anesthesia while 19 of them were operated under local anesthesia. Ultrasound imaging were done in all cases and 6 patients were further evaluated using magnetic resonance imaging(MRI). No mortality was reported. As for morbidity, 2 patient had local wound infection. Study group is followed up without any recurrence reported.

DISCUSSION AND CONCLUSION

Endometriosis cases are presented as palpable painful masses and rarely found on C/S scar or on anterior abdominal wall. Surgery is a effective treatment option. To avoid any recurrence, masses must be removed a minumum 1 cm margin. In differential diagnosis of palpable and painful masses on the abdominal wall or C/S scar in reproductive women, we should consider endometriosis.