Abdominal Wall Endometriosis (AWE): A New Surgical Challenge (Case Report)

• Yousuf Ballalu

  Department of General Surgery, Section of Oncology, Almukhili General Hospital, Libya

  Author

• Husayn Alfakhakhiri

  Department of General Surgery, Section of Oncology, Almukhili General Hospital, Libya

  Author

• Fathe shalwi

  Department of General Surgery, Cyrene Teaching Hospital, Libya

  Author

• Asmahan Alshaykh

  Department of Physiology, Faculty of Medicine, University of Derna, Libya

  Author

• Mustafa Musabihah

  Department of General Surgery, Section of Oncology, Almukhili General Hospital, Libya

  Author

• Ahmed Aloukili

  Department of General Surgery, Section of Oncology, Almukhili General Hospital, Libya

  Author

Endometriosis is defined as the appearance of functional uterine tissue that responds to hormonal stimuli in tissues other than the uterine cavity. Typically, the pelvic cavity is where endometriosis is found. The anterior abdominal wall, bone, adrenal glands, eyes, and heart are all occasionally involved in extrapelvic cases. The most typical symptom of extrapelvic endometriosis is abdominal wall involvement. There appears to be a strong correlation between pre-existing surgical scars and the presence of endometriomas within the abdominal wall. In cases when female patients exhibit a cyclically painful abdominal wall mass, it is crucial to maintain a heightened level of suspicion for endometrioma, particularly if there is a history of prior gynecologic surgery. The differential diagnosis may provide greater challenges when abdominal wall endometriomas are situated at a distance from the scar, as is commonly observed following Pfannenstiel's laparotomic incision. Many of these lesions can be distinguished by MRI, and intraoperative frozen section histological confirmation should be obtained to enable an oncological resection if necessary.

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