TITLE

Endometriosis in Abdominal Scars: A Report of Three Cases Diagnosed by Fine-Needle Aspiration Biopsy

AUTHOR(S)
Simsir, Aylin; Thorner, Kim; Waisman, Jerry; Cangiarella, Joan
PUB. DATE
October 2001
SOURCE
American Surgeon;Oct2001, Vol. 67 Issue 10, p984
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Endometrioma in an operative scar is rare. The majority of patients have no prior history of endometriosis, and symptoms may mimic postoperative hernias. Fine-needle aspiration biopsy (FNAB) can be a valuable diagnostic aid in the evaluation of these subcutaneous abdominal masses. We present the cytologic findings in three cases of abdominal wall endometriomas diagnosed by FNAB. The patients ranged from 31 to 51 years of age. None had a history of endometriosis, but all had prior abdominal operations (two abdominal hysterectomies for fibroids and one cesarean section). They presented 6 months to 7 years later with painful subcutaneous abdominal nodules in their scars ranging from 2 to 6 cm. FNAB was performed by a cytopathologist. The smears were cellular and comprised two distinct cell populations. An epithelial component consisted of flat sheets of polygonal cells with round to oval nuclei and scant cytoplasm. The second component consisted of clusters of fusiform stromal cells. Numerous hemosiderin-laden macrophages were noted in the background. Cytokeratin highlighted the epithelial clusters, and vimentin stained the stromal cells. Electron microscopy showed two epithelial cell types: one with cilia and abundant rough endoplasmic reticulum and the other with numerous microvilli and scattered mitochondria indicative of endometrial differentiation. FNAB provided a rapid and accurate preoperative diagnosis in each case.
ACCESSION #
5331328

 

Related Articles

  • Prevalence of congenital anterior abdominal wall defects in the United Kingdom: Comparison of regional registers. Stone, DH; Rimaz, Shahnaz; Gilmour, WH // BMJ: British Medical Journal (International Edition);10/24/98, Vol. 317 Issue 7166, p1118 

    Presents a study which investigated the prevalence of congenital abdominal wall defects in Great Britain. Subjects and methodology; Results; Comment on the findings.

  • TWO-PUNCTURE THREE -PORT CHOLECYSTECTOMY. Eltsin, S. S.; Rutenburg, G. M. // Pacific Medical Journal / Tihookeanskij Medicinskij Zurnal;Dec2011, Issue 4, p79 

    Based on the results of 134 laparoscopic cholecystectomies performed to women aged 18 to 50 years, the authors discuss features of surgeries performed through three ports mounted in two punctures in front abdominal wall. The small-diameter tools allow achieving almost ideal cosmetic effect and...

  • Ultrasonography of Infrequent Sites.  // Fertility Weekly;4/7/2008, p8 

    The article reports on the study conducted by researchers in South Korea sought to review the sonographic features of endometriosis including the abdominal wall, appendix, perineum and bladder. In the study, researchers have administered biopsy by ultraguided fine needled aspiration with...

  • Prevention of Adhesions to Polypropylene Mesh in a Rabbit Model. DINSMORE, ROBERT C.; CALTON JR., WILLIAM C. // American Surgeon;Apr1999, Vol. 65 Issue 4, p383 

    Presents information on a study which developed a quantitative model for evaluating adhesion formation and determined whether Seprafilm (HAL-F) bioresorbable membrane is effective in preventing adhesions to polypropylene mesh (PPM). Use of PPM in repairing abdominal wall defects; Materials and...

  • Development of a novel synthetic material to close abdominal wall defects. Cnota, Melissa A.; Aliabadi-Wahle, Shaghayegh; Choe, Ella U.; Jacob, Jean T.; Flint, Lewis M.; Ferrara, John J. // American Surgeon;May1998, Vol. 64 Issue 5, p415 

    Compares the effectiveness of abdominal wall closure techniques using implanted permanent mesh materials such as TMS-2 with Gore-Tex or Marlex and primary closure of the abdominal defects created under clean and contaminated conditions. Composition of the synthetic material; Superiority of...

  • Sirenomelia associated with an anterior abdominal wall defect: a case report. Kavunga, Eric Kambale; Bunduki, Gabriel Kambale; Mumbere, Mupenzi; Masumbuko, Claude Kasereka // Journal of Medical Case Reports;7/13/2019, Vol. 13 Issue 1, pN.PAG 

    Background: Sirenomelia is a rare and fatal congenital defect. The rarity of this case and its association with abdominal total wall defect drove us to report this case.Case Presentation: We report a rare case of sirenomelia characterized by lower limb fusion,...

  • Clear cell sarcoma of the soft parts arising in the rectus abdominis in a child -- aspiration cytology of a rare case. Murugan, Paari; Basu, Debdatta; Kumar, Surendra; Jagadish, Sadasivan // CytoJournal;2007, Vol. 4 Issue 1, p15 

    Background: Clear cell sarcoma of soft parts is most commonly found associated with the tendons and aponeuroses of distal extremities in young adults with a peak incidence in the third decade. Location in the abdominal wall and in a child is very rare. Case presentation: A nine-year-old female...

  • Scar endometriosis. PATHAN, ZAHEER ABBAS ALI KHAN; DINESH, U. S.; RAO, RAVIKALA // Journal of Cytology;Jul-Sep2010, Vol. 27 Issue 3, p106 

    Endometriosis is the presence of functioning endometrium outside the uterus. Endometriosis rarely occurs in the abdominal wall. Majority of abdominal wall endometriosis occur in or adjacent to surgical scars, following caesarean section or hysterectomy. Laparotomy scar endometriosis following...

  • Inflammatory myofibroblastic tumor presenting as an abdominal wall mass in an adult patient. Yagci, Mehmet Ali; Sezer, Atakan; Yeldan, Eyup; Coskun, Irfan; Usta, Ufuk; Cicin, Irfan; Temizoz, Osman // Journal of Cancer Research & Therapeutics;Apr-Jun2010, Vol. 6 Issue 2, p224 

    Inflammatory myofibroblastic tumor of the abdominal wall is a rare soft-tissue tumor presentation in adults. A 50-year-old woman was referred with abdominal pain and a palpable mass in the left lower quadrant. Computed tomography scan and magnetic resonance investigation revealed an 8-cm...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics