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Case Report of Recurrent Abdominal Wall Endometrioma at the Same Location after Nine Years of Its First Excision

Gonzalez-Fernandez S*, Sabra S, Oltra M, Parra J, Jou C, Gonzalez-Bosquet E, Gomez-Roig MD

Abdominal wall endometriosis is uncommon among women within the reproductive age group. In Europe, its estimated incidence is between 0,03-3,5%. Abdominal endometriosis is suspected in patients who complain of cyclic pelvic pain or a tender mass within or adjacent to a surgical scar or caesarean section scar on physical examination. Ultrasound, magnetic resonance image and computed tomography are helpful tools to diagnose abdominal endometriosis however histologic examination is required for confirmation. The standard treatment for abdominal wall endometriosis is surgical excision. However, a proper surgical technique could prevent abdominal wall endometriosis after uterine surgery. According to our knowledge, we present a literature review and a case report of a 44 years old woman with recurrent abdominal wall endometrioma, noted on the fascia, which was resected 9 years ago by the same team in our hospital.