Beyond the scar: a retrospective analysis of a rare subtype of abdominal wall endometriosis with muscle fascia invasion and its surgical implications

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dc.contributor.authorKeyif, Muhammet Fatih
dc.contributor.authorDestek, Sabahattin
dc.contributor.authorKeyif, Betul
dc.date.accessioned2026-07-01T11:39:38Z
dc.date.available2026-07-01T11:39:38Z
dc.date.issued2025
dc.departmentDüzce Üniversitesi
dc.description.abstractBackground Abdominal wall endometriosis (AWE) is a rare form of extrapelvic endometriosis, often developing after cesarean section. While typically presenting as a painful mass near surgical scars, its diagnosis is frequently delayed. This study investigates the clinical features, muscle fascia involvement, and surgical outcomes in patients with AWE. Methods A retrospective review was performed on 21 patients with histologically confirmed AWE treated surgically at a tertiary care center between January 2016 and December 2020. Patient demographics, clinical presentation, lesion characteristics, fascia involvement, surgical techniques, and recurrence rates were analyzed. Results All patients had a prior cesarean section. The most common symptom was a cyclic painful mass (76.2%). Muscle fascia invasion was detected in 42.9% of cases. Polypropylene mesh repair was used in defects >= 3 cm. Only one recurrence (4.8%) was observed during a mean follow-up of 22 months. A strong correlation existed between physical and radiologic lesion size (r = 0.923), and between symptom duration and time since cesarean (r = 0.579). Conclusion AWE should be considered in women with abdominal wall masses and cesarean history. Wide excision is effective, and mesh repair offers reliable outcomes in fascia-invading cases. Early recognition and tailored surgical planning help minimize recurrence.
dc.identifier.doi10.1186/s12893-025-03411-9
dc.identifier.issn1471-2482
dc.identifier.issue1
dc.identifier.orcid0000-0001-7346-1041
dc.identifier.pmid41366374
dc.identifier.scopus2-s2.0-105027477949
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://doi.org/10.1186/s12893-025-03411-9
dc.identifier.urihttps://hdl.handle.net/20.500.12684/23395
dc.identifier.volume26
dc.identifier.wosWOS:001662050700001
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherBmc
dc.relation.ispartofBmc Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WOS_20260623
dc.subjectAbdominal Wall Endometriosis
dc.subjectCesarean Scar
dc.subjectFascia
dc.subjectMesh Repair
dc.subjectSurgery
dc.titleBeyond the scar: a retrospective analysis of a rare subtype of abdominal wall endometriosis with muscle fascia invasion and its surgical implications
dc.typeArticle

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