The importance of extragenital endometriosis for surgeons

Hüseyin Esin, Cem Karaali, Can Arıcan, Tayfun Kaya, Mehmet Üstün, Gülden Diniz, Cengiz Aydın, Mustafa Emiroğlu
2018 The Journal of Tepecik Education and Research Hospital  
Objective: In this study, the characteristics of patients who were treated in our General Surgery Clinic with extragenital endometriosis are described. In addition, increasing the awareness of clinicians to these rare situations.is aimed. Methods: Patients who were operated in General Surgery Clinic between January 2010 and January 2017 were included in the study. The data of the patients were retrospectively analyzed from their files. Demographic data, anamnesis and physical examination
more » ... s, localizations, and number of endometriomas with endometriosis were recorded. Results: Sixteen patients who met the study criteria were included in the study. The mean age of the patients was 32.8±6.9 (min-max: 21-44) years and 14 (87.5%) patients were premenopausal women while all cases had undergone at least one or more than one cesarean sections The most frequent symptom was palpable mass (n=15) and followed by cyclic pain (n=12). Extragenital endometriomas were located close to the cesarean section scar in 13 (81.25%), on umbilical region in two and inguinal region in one patient. The mean diameter of the masses was 39.5±18.1 mm (min-max: 10-75 mm). The mean follow-up period of the patients was 43 months (range: 18-79 months). During the follow-up period, recurrence was detected in one patient. Conclusion: Extrapelvic endometrioma should be suspected in the differential diagnosis in patients who had undergone gynecologic or obstetric surgery and had a mass lesion developed on the abdominal wall regardless of the presence of cyclic pain.
doi:10.5222/terh.2018.68926 fatcat:cajkqsl2rba4dmrsrguezujh3a