Abdominal wall endometrioma presenting as a cystic abdominal wall mass: A case report and literature review

Abstract

Endometriosis is classically defined as the presence of endometrial glands and stroma outside of the uterine cavity and musculature . Although it most commonly occurs in the pelvis, various extrapelvic locations have been reported in the literature. There seems to be a strong association between abdominal wall endometriomas and previous surgical scars. In female patients presenting with a cyclically painful abdominal wall mass, a high index of suspicion for endometriomamust be maintained, especially in the setting of previous gynecologic surgery.Although there may be a role formedical management of symptoms, the most definitive treatment of an abdominal wall endometrioma appears to be wide local excision with negative margins. This paper presents a 39-year-old female with an extensive gynecologic surgical history presenting with a 6 × 6 cm cyclically tender abdominal wall endometrioma treated with wide local excision.