Ibrahim Rana, Fadel Abbas, Dika Zakaria
Research Department at Saint George Hospital-Hadath.
Infectious disease Department at Saint George Hospital-Hadath.
Ann Med Surg (Lond). 2024 Aug 14;86(10):6186-6189. doi: 10.1097/MS9.0000000000002468. eCollection 2024 Oct.
Abdominal wall endometriosis (AWE) is a rare but significant complication following cesarean sections. It manifests with recurring right lower quadrant pain, particularly during menstruation, and palpable masses at the cesarean scar site. Recognizing these symptoms is critical for timely diagnosis and effective management. This report discusses the clinical manifestations, diagnostic approach, surgical intervention, and postoperative outcomes of AWE in a specific patient.
A 28-year-old female presented with recurrent right lower quadrant pain, exacerbated during menstruation, and a palpable mass at her previous cesarean scar. Imaging revealed a well-defined 3.6 ×3 cm mass infiltrating through all layers of the abdominal wall.
This case highlights the challenges of diagnosing AWE, often presenting with vague symptoms like cyclic pain and palpable masses. The primary diagnostic tool was a CT scan, with histopathological examination confirming the diagnosis. Surgical excision was performed, resulting in significant symptom relief and a low recurrence rate.
This case underscores the importance of vigilance for AWE symptoms in patients with prior cesarean sections. Early recognition and surgical intervention are paramount for effective management and symptom alleviation.
腹壁子宫内膜异位症（AWE）是剖宫产术后一种罕见但严重的并发症。其表现为右下腹反复疼痛，尤其是在月经期间，且剖宫产瘢痕部位可触及肿块。认识到这些症状对于及时诊断和有效治疗至关重要。本报告讨论了一名特定患者的AWE的临床表现、诊断方法、手术干预及术后结果。
一名28岁女性出现右下腹反复疼痛，月经期间加重，且在既往剖宫产瘢痕处可触及肿块。影像学检查显示一个边界清晰的3.6×3厘米肿块，浸润腹壁各层。
该病例凸显了诊断AWE的挑战，其常表现为周期性疼痛和可触及肿块等模糊症状。主要诊断工具是CT扫描，组织病理学检查确诊。进行了手术切除，症状得到显著缓解，复发率低。
该病例强调了对既往有剖宫产史患者警惕AWE症状的重要性。早期识别和手术干预对于有效治疗和缓解症状至关重要。
