A Case Report of Extrapelvic Endometriosis: Surgeon's Perspective and Review of the Literature
Year: 2025
Type: article
Study design: Case Report
Abstract: Endometriosis, while commonly managed by gynecologists, is rarely encountered by general surgeons and is often identified incidentally or upon histopathological examination. This condition can manifest in both pelvic and extrapelvic sites, with extrapelvic endometriosis most frequently observed in the gastrointestinal tract and abdominal wall. Cesarean scar endometriosis (CSE) is the most prevalent form of abdominal wall endometriosis. Cyclical symptoms linked to menstruation occur in around half of patients and should raise suspicion in cases presenting with scar-related or subcutaneous swellings. This report presents two cases of extrapelvic endometriosis: one involving appendiceal endometriosis, which was unexpectedly identified as appendicitis, and another with CSE, diagnosed after surgical excision of a painful swelling in the cesarean section scar. The discussion focuses on the diagnosis and management of CSE and appendiceal endometriosis.
Source: Cureus
DOI: 10.7759/cureus.88319
Institution: King Hamad University Hospital
Language: English
Subfield: Reproductive Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4412873552