@article{article_308496, title={ABDOMINAL WALL ENDOMETRIOSIS; DISTANT FROM CAESAREAN INSICION ATYPIC LOCATION}, journal={Journal of Istanbul Faculty of Medicine}, volume={79}, pages={175–177}, year={2017}, DOI={10.18017/iuitfd.308496}, author={Kürek Eken, Meryem and İlhan, Gülşah and Yüksel, Hasan and Bıçakçı, Burcu}, keywords={Abdominal wall endometriosis,infertility,atypical location}, abstract={<p class="MsoNormal" style="text-align:justify;"> <b> <span style="font-size:10pt;">Objective: </span> </b> <span style="font-size:10pt;">Abdominal
wall endometriosis is seen rarely. Mass lesion, cyclic menstrual pain and
previous obstetric or gynecological surgery history facilitates the
preoperative diagnosis. Atypical presentation that is distant from the scar
line may be encountered in rare cases. We defined secondary infertile patient
that was operated in our clinic, having bilateral abdominal wall endometriosis
that was located 10 cm far away atypically distant from cesarean scar line. </span> </p> <p> </p> <p class="MsoNormal" style="text-align:justify;"> <b> <span style="font-size:10pt;">Case
presentation: </span> </b> <span style="font-size:10pt;">34 year old, gravida 3, parity 1 ( cesarean section ) patient who had
undergone caesarean section 5 years ago admitted to gynecology outpatient
clinic with the complaints of secondary infertility and palpable abdominal wall
mass. Physical examination revealed pfannensteil incision and bilateral 3 cm
painful mass that was located 10 cm distant from the scar line. </span> </p> <p> </p> <p class="MsoNormal" style="text-align:justify;"> <span style="font-size:10pt;">Ultrasonographic examination revealed oval,
3x4 cm, hyperechogen mass compatible with endometriosis that was located
lateral to the rectus muscles bilaterally. Lesions were removed with 1 cm clean
margins by incisions to skin and subcutaneous tissue under general anesthesia. </span> </p> <p> </p> <pre style="text-align:justify;background:#FFFFFF;"> <span style="font-family:’Times New Roman’, serif;color:#000000;">Pelvic endometriosis or endometrioma was not detected in the diagnostic laparoscopy. ​​ Bilateral methylene blue tubal passage was not monitored in the chromopertubation test. Pathological evoluation resulted as endometriosis. </span> </pre> <p> </p> <p class="MsoNormal" style="text-align:justify;"> <b> <span style="font-size:10pt;">Conclusion: </span> </b> <span style="font-size:10pt;">Previous
cesarean section in the patient’s history was typical. Localization distant
from the scar line was atypical. Despite history of secondary infertility for
about 2 years  and lack of a a
significant focus of endometriosis in the abdomen of the patient, atypical
localization of endometriosis should be kept in mind. </span> <span style="font-size:10pt;"> </span> </p> <p> </p> <p> </p> <p class="MsoNormal" style="text-align:justify;"> <b> <span style="font-size:10pt;">Key
words: </span> </b> <span style="font-size:10pt;">Abdominal wall endometriosis; infertility; atypical location. </span> </p> <p> </p>}, number={4}, publisher={Istanbul University}