Abdominal wall endometriosis – clinical pattern and treatment

A.M. Plopan, F. Șandru, D.P. Fărcășanu, R.C. Petca, M.C. Dumitrașcu, A. Petca

Rezumat: Endometriosis is a benign inflammatory disease that affects a large proportion of women in their reproductive age. A peculiar type is the one situated on the postsurgical scars in the form of endometriomas. Whilst most patients with this pathology do not have a history of pelvic endometriosis, the explanation for its appearance is the theory of implantation of endometriotic cells during surgery, as well as the existence of primitive, pluripotent mesenchymal cells that have undergone differentiation and metaplasia processes. Pain is the main symptom of this condition, accompanied frequently by the appearance of an abdominal wall mass, which are both influenced by menstrual periods. Endometriosis is an estrogendependent disease, thus the medical treatment could comprise contraceptives-containing progesterone, as well as antiestrogens, but the long-term success rate is low, the treatment of choice being the surgical one.
Cuvinte cheie: endometriomas, postsurgical appearance, medical treatment, surgical cure.