Endometriosis mimicking incisional hernia detected in the rectus abdominis muscle after caesarean section
Mehmet Tolga Kafadar1, Abdullayev Mirsaleh Miryaguboğlu2, Metin Yalaza3, Gürkan Değirmencioğlu4, Meral Şen5
1Mehmet Akif İnan Eğitim ve Araştırma Hastanesi Genel Cerrahi Kliniği, Şanlıurfa, Türkiye
2Azerbaycan Tıp Üniversitesi 3. Cerrahi Hastalıklar Kliniği, Bakü, Azerbaycan
3Numune Eğitim ve Araştırma Hastanesi Genel Cerrahi (Cerrahi Onkoloji) Kliniği, Ankara, Türkiye
4Yıldırım Beyazıt Üniversitesi Tıp Fakültesi Genel Cerrahi Anabilim Dalı, Ankara, Türkiye
5Medical Park Ankara Hastanesi Genel Cerrahi Kliniği, Ankara, Türkiye
Keywords: Caesarean section; endometriosis; rectus abdominis muscle.
Endometriosis is defined as the growth of functional endometrial gland and stroma outside the uterine cavity. Endometriosis can be detected at the trocar site after caesarean section, hysterectomy, appendectomy, and laparoscopy; and within the scar tissue after episiotomy and amniocentesis. Abdominal wall endometrioma, on the other hand, is a mass composed of endometrial gland and stroma that may develop within or adjacent to incisional scar tissue after gynecological procedures, mainly caesarean section. In this article, we present a 41-year-old female patient with a history of giving birth via caesarean section five years ago, who presented with a painful mass mimicking an incisional hernia within rectus abdominis muscle. The patient was treated with a large excision and we report the histopathological examination to be endometriosis.