Abstract

INTRODUCTION

In this study, the characteristics of patients who were treated in our General Surgery Clinic with extragenital endometriosis are classified. The aim is to increase the awareness of clinicians to these rare situations.

METHODS

Patients who were operated in General Surgery Clinic between January 2010 and January 2017 were analysed in the study. The data files were examined retrospectively. Demographic data, anamnesis and physical examination findings, endometriosis localizations and numbers were recorded.

RESULTS

Sixteen patients who met the study criteria were included in the study. The mean age of the patients was 32.8 ± 6.9 (min-max: 21-44) and 14 (87.5%) patients were premenopausal while all cases had at least one or more cesarean sections applied. The most frequent symptom was palpable mass (n = 15) and the second most frequent was cyclic pain (n = 12). Extragenital endometriomas were located close to the cesarean section scar in 13 (81.25%) patients, umbilical in two patients, and inguinal in one patient. The mean diameter of the masses was 39.5 ± 18.1 mm (min-max: 10-75 mm). The mean follow-up period of the patients was 43 months (range: 18-79 months). During the follow-up period, recurrens were detected in one patient.

DISCUSSION AND CONCLUSION

Extrapelvic endometrioma should be suspected in patients with gynecologic or obstetric surgery and mass in the abdominal wall in differential diagnosis regardless from the occurance of cyclic pain.