Abdominal Wall Endometriosis Following Cesarean Section: A Retrospective Analysis
Journal of Clinical Medicine, cilt.15, sa.14, 2026 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 15 Sayı: 14
- Basım Tarihi: 2026
- Doi Numarası: 10.3390/jcm15145615
- Dergi Adı: Journal of Clinical Medicine
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Chemical Abstracts Core, EMBASE, Academic Search Ultimate (EBSCO), Health Research Premium Collection (ProQuest)
- Anahtar Kelimeler: abdominal wall endometriosis, anesthetic management, case series, cesarean section, intramuscular endometriosis, Pfannenstiel incision, rectus abdominis, regional anesthesia, scar endometriosis, wide local excision
- Çanakkale Onsekiz Mart Üniversitesi Adresli: Evet
Özet
Background: Abdominal wall endometriosis (AWE) following cesarean section (CS) is an increasingly recognized complication. Intramuscular involvement of the rectus abdominis and the management of associated fascial defects remain underreported. Methods: We retrospectively analyzed 14 consecutive women with histopathologically confirmed AWE following CS. Clinical presentation, imaging, operative technique, and follow-up outcomes were analyzed. Results: Mean age was 35.4 years (range 29–45). Three cases (21.4%) showed intramuscular rectus abdominis invasion; 11 (78.6%) were subcutaneous. Mean nodule size was 24.1 mm (range 9–45 mm). Cross-sectional imaging (MRI or CT) was obtained selectively in four patients with the largest lesions. Wide local excision with free margins was achieved in all cases. Two intramuscular cases required primary fascial repair (defects ~2 cm) without prosthetic mesh. No recurrences were detected at 12–24 months of follow-up. Conclusions: AWE following CS may involve both subcutaneous and intramuscular planes. Wide local excision with primary fascial repair is effective for small defects. Preoperative sonographic evaluation and individualized operative planning are essential for optimal outcomes.