Intramuscular Abdominal Wall Endometriosis: A Case Study
Published: 2022-10-13
Page: 345-348
Issue: 2022 - Volume 5 [Issue 2]
Salaheddine El Massi *
Department of General Surgery, University Hospital Centre Ibn Rochd, Casablanca, Morocco and Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.
Amal Hajri
Department of General Surgery, University Hospital Centre Ibn Rochd, Casablanca, Morocco and Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.
Karim Yaqine
Department of General Surgery, University Hospital Centre Ibn Rochd, Casablanca, Morocco and Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.
Driss Errguibi
Department of General Surgery, University Hospital Centre Ibn Rochd, Casablanca, Morocco and Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.
Rachid Boufettal
Department of General Surgery, University Hospital Centre Ibn Rochd, Casablanca, Morocco and Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.
Saad Rifki El Jai
Department of General Surgery, University Hospital Centre Ibn Rochd, Casablanca, Morocco and Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.
Farid Chehab
Department of General Surgery, University Hospital Centre Ibn Rochd, Casablanca, Morocco and Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.
*Author to whom correspondence should be addressed.
Abstract
Abdominal wall endometriosis is the most common site of extra-pelvic disease, the pathophysiology of which remains unclear. Most of the cases are secondary to gynecologic surgery or obstetrical care. We report a case of a young woman suffering of cyclic right iliac fossa pain. Clinical finding are a deep hard and mobile nodule. Parietal ultrasound identified a hypoechogenic superficial nodule within the rectus muscle measuring 20x08 mm. MRI confirmed parietal endometriosis diagnosis. Surgery has been performed with histologic confirmation of parietal endometriosis. The postoperative period was uneventful. Parietal endometriosis remains a rare entity that required an early diagnosis and management of this entity to prevent during each gynecological or obstetrical surgery.
Keywords: Obstetrical surgery, endometriosis, hypoechogenic superficial nodule, pelvic disease