Abdominal Wall Reconstruction in Abdominal Wall Endometriosis: A Case Report and Literature Review
Abdominal wall endometriosis (AWE) is a rare condition representing 1% of patients operated for endometriosis. We describe a case of a 26-year-old woman, with a history of cesarean delivery, who presented with cyclical pain and a subcutaneous mass in the lower abdomen. Where most AWE lesions may be...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical Publishers, Inc.
2025-03-01
|
| Series: | Archives of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/a-2336-0073 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850070362900922368 |
|---|---|
| author | Otis C. van Varsseveld Gustavo G. Koeijers Juan M. Rodriguez Vitoria Igor Gomes Bravio |
| author_facet | Otis C. van Varsseveld Gustavo G. Koeijers Juan M. Rodriguez Vitoria Igor Gomes Bravio |
| author_sort | Otis C. van Varsseveld |
| collection | DOAJ |
| description | Abdominal wall endometriosis (AWE) is a rare condition representing 1% of patients operated for endometriosis. We describe a case of a 26-year-old woman, with a history of cesarean delivery, who presented with cyclical pain and a subcutaneous mass in the lower abdomen. Where most AWE lesions may be surgically managed by a single surgeon, imaging revealed an unusually large lesion (13 × 4 × 10 cm) involving the rectus abdominis muscle. Plastic, gynecologic, and general surgeons combined their expertise to conduct AWE excision combined with miniabdominoplasty in a single procedure. After resection, a retrorectus mesh (Rives–Stoppa technique) reinforced the primarily closed posterior rectus sheath and an inlay mesh bridged the defect left in the anterior rectus sheath. The patient was discharged 3 days postoperatively, had minimal pain complaints, and was satisfied with cosmetic results at 1-month and later follow ups. One year postoperatively, she gave uncomplicated vaginal birth. We conclude that, in select cases, management of a large, symptomatic AWE may benefit from a multidisciplinary approach, where symptom relief and an aesthetically pleasing result for the patient can be achieved in a single procedure. We distinctively describe double mesh repair as a viable consideration for reconstruction in AWE and review current considerations in mesh repair of the abdominal wall. Further studies into this topic are warranted. |
| format | Article |
| id | doaj-art-cf5053f145d14adea48df6e632aa5876 |
| institution | DOAJ |
| issn | 2234-6163 2234-6171 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Archives of Plastic Surgery |
| spelling | doaj-art-cf5053f145d14adea48df6e632aa58762025-08-20T02:47:33ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712025-03-01520207608110.1055/a-2336-0073Abdominal Wall Reconstruction in Abdominal Wall Endometriosis: A Case Report and Literature ReviewOtis C. van Varsseveld0https://orcid.org/0000-0001-8764-7744Gustavo G. Koeijers1https://orcid.org/0009-0000-9529-0116Juan M. Rodriguez Vitoria2https://orcid.org/0009-0003-9117-8014Igor Gomes Bravio3https://orcid.org/0000-0003-4545-3903Department of Surgery, University Medical Center Groningen, University of Groningen, Groningen, The NetherlandsDepartment of Plastic, Reconstructive and Hand Surgery, Curaçao Medical Center, Willemstad, CuraçaoDepartment of Surgery, Curaçao Medical Center, Willemstad, CuraçaoDepartment of Obstetrics & Gynecology, Curaçao Medical Center, Willemstad, CuraçaoAbdominal wall endometriosis (AWE) is a rare condition representing 1% of patients operated for endometriosis. We describe a case of a 26-year-old woman, with a history of cesarean delivery, who presented with cyclical pain and a subcutaneous mass in the lower abdomen. Where most AWE lesions may be surgically managed by a single surgeon, imaging revealed an unusually large lesion (13 × 4 × 10 cm) involving the rectus abdominis muscle. Plastic, gynecologic, and general surgeons combined their expertise to conduct AWE excision combined with miniabdominoplasty in a single procedure. After resection, a retrorectus mesh (Rives–Stoppa technique) reinforced the primarily closed posterior rectus sheath and an inlay mesh bridged the defect left in the anterior rectus sheath. The patient was discharged 3 days postoperatively, had minimal pain complaints, and was satisfied with cosmetic results at 1-month and later follow ups. One year postoperatively, she gave uncomplicated vaginal birth. We conclude that, in select cases, management of a large, symptomatic AWE may benefit from a multidisciplinary approach, where symptom relief and an aesthetically pleasing result for the patient can be achieved in a single procedure. We distinctively describe double mesh repair as a viable consideration for reconstruction in AWE and review current considerations in mesh repair of the abdominal wall. Further studies into this topic are warranted.http://www.thieme-connect.de/DOI/DOI?10.1055/a-2336-0073surgeryplasticabdominoplastyendometriosissurgical meshabdominal wall |
| spellingShingle | Otis C. van Varsseveld Gustavo G. Koeijers Juan M. Rodriguez Vitoria Igor Gomes Bravio Abdominal Wall Reconstruction in Abdominal Wall Endometriosis: A Case Report and Literature Review Archives of Plastic Surgery surgery plastic abdominoplasty endometriosis surgical mesh abdominal wall |
| title | Abdominal Wall Reconstruction in Abdominal Wall Endometriosis: A Case Report and Literature Review |
| title_full | Abdominal Wall Reconstruction in Abdominal Wall Endometriosis: A Case Report and Literature Review |
| title_fullStr | Abdominal Wall Reconstruction in Abdominal Wall Endometriosis: A Case Report and Literature Review |
| title_full_unstemmed | Abdominal Wall Reconstruction in Abdominal Wall Endometriosis: A Case Report and Literature Review |
| title_short | Abdominal Wall Reconstruction in Abdominal Wall Endometriosis: A Case Report and Literature Review |
| title_sort | abdominal wall reconstruction in abdominal wall endometriosis a case report and literature review |
| topic | surgery plastic abdominoplasty endometriosis surgical mesh abdominal wall |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/a-2336-0073 |
| work_keys_str_mv | AT otiscvanvarsseveld abdominalwallreconstructioninabdominalwallendometriosisacasereportandliteraturereview AT gustavogkoeijers abdominalwallreconstructioninabdominalwallendometriosisacasereportandliteraturereview AT juanmrodriguezvitoria abdominalwallreconstructioninabdominalwallendometriosisacasereportandliteraturereview AT igorgomesbravio abdominalwallreconstructioninabdominalwallendometriosisacasereportandliteraturereview |