Medicine and Medical Sciences

The abdominal wall is the most common position locating endometriosis. The presentation of the event concerning the occurrence of endometriosis in scar of laparotomy after cesarean section. A patient, four years after cesarean section performed with Pfannestiel, came to our outpatient clinic with abdominal pain primarily located in the left end of the surgical scar. Based on history and clinical findings was the suspected endometriosis of the abdominal wall and decided surgical exploration of the disease. Intraoperatively was found hard clumps, a surface of which was solid adherent to the fascia of the abdominal muscles without good infiltration of the muscular wall. Histological examination of surgical preparation confirmed diagnosis of endometriosis in the abdominal wall with fresh bleeding and old data. In this work, after the description of the incident by the systematic arrangement and processing of modern references attempted a brief review of this rare localization of the disease, regarding the pathogenesis, diagnosis, treatment and prognosis.
 

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