Parietal endometriosis in Pfannenstiel incision
Introduction: Endometriosis is a chronic disease affecting 3-10% of women of reproductive age. The most frequent location is the pelvis, but extrapelvic sites can also occur, involving the abdominal wall, peritoneum, urinary tract, intestine, colon, and thorax.(1) Endometriosis of the abdominal wall...
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| Format: | article |
| Language: | Spanish English Portuguese |
| Published: |
2026
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| Online Access: | https://revista.scu.org.uy/index.php/cir_urug/article/view/5877 |
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| Summary: | Introduction: Endometriosis is a chronic disease affecting 3-10% of women of reproductive age. The most frequent location is the pelvis, but extrapelvic sites can also occur, involving the abdominal wall, peritoneum, urinary tract, intestine, colon, and thorax.(1) Endometriosis of the abdominal wall is a rare entity and difficult to diagnose due to its nonspecific symptoms. Objective: To describe a clinical case of a rare pathology: parietal endometriosis following gynecological and obstetric surgery. Setting: Hospital Pasteur, Montevideo, Uruguay. Design: Clinical case. Case description: Female, 27 years old, with a gynecological and obstetric history of two pregnancies, one vaginal delivery and one cesarean section via Pfannenstiel incision five years prior to consultation. Consultation for a 3 cm, solid, slow-growing mass at the Pfannenstiel incision site, present for 4 years, with cyclical pain coinciding with menstrual cycles and no signs of inflammation or infection. As a result of clinical and imaging evaluation, foci of endometriosis were diagnosed in the abdominal wall, subsequently confirmed by histopathological examination of the specimen. Conclusion: Post-surgical abdominal wall endometriosis is a rare disease that occurs in young patients who have undergone gynecological and obstetric surgeries. It is difficult to diagnose due to its nonspecific clinical manifestations; therefore, a high index of suspicion should be maintained in patients with a surgical history associated with cyclical pain at the incision site. |
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