Journal List > Korean J Obstet Gynecol > v.55(7) > 1088484

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Kim, Kim, Namkung, Song, Jung, Cho, Kwon, Lew, Kim, Kim, and Kim: A Case of Reconstruction of Abdominal Fascia Using Polypropylene Mesh for Patient of Abdominal Wall Endometriosis After Cesarean Section
Case Report
Korean Journal of Obstetrics & Gynecology

Korean Journal of Obstetrics & Gynecology 2012; 55(7): 517-521.

Published online: 13 July 2012

DOI: https://doi.org/10.5468/KJOG.2012.55.7.517

A Case of Reconstruction of Abdominal Fascia Using Polypropylene Mesh for Patient of Abdominal Wall Endometriosis After Cesarean Section

Su-Mi Kim, MD, Hyun-Kyoung Kim, MD, Jung Namkung, MD, Jae-Yeon Song, MD, In-Chol Jung, MD, Hyun-Hee Cho, MD, Dong-Jin Kwon, Young-Oak Lew, MD, Eun-Jung Kim, MD, Jang-Heub Kim, MD, Mee-Ran Kim, MD

Department of Obstetrics and Gynecology, The Catholic University of Korea College of Medicine, Seoul, Korea.

Corresponding author: Mee-Ran Kim, MD. Department of Obstetrics and Gynecology, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, 222 Banpo-daero, Seocho-gu, Seoul 137-701, Korea. Tel: +82-2-2258-6170, Fax: +82-2-595-1549, mrkim@catholic.ac.kr

Received 21 December 2011       Revised 30 March 2012       Accepted 15 May 2012

Copyright © 2012. Korean Society of Obstetrics and Gynecology

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Endometriosis is defined by the presence of endometrial glands and stroma outside uterine cavity showing variable clinical symptoms under effect of estrogen. The occurrence rate of abdominal wall endometriosis after cesarean section is rare making diagnosis difficult. The case of a 36-year-old female presenting with the very painful mass and pain arising in the caesarean section scar is reported. The curable treatment of abdominal wall endometriosis is the surgical removal of all the pathological tissue, through a large excision. The involved fascia was widely excised and the abdominal wall was reconstructed using polypropylene mesh.

Keywords: Abdominal wall endometriosis, Polyproplylene mesh

Figures and Tables

Fig. 1
Magnetic resonance imaging finding shows low signal mass in anterior rectus abdominis muscle under previous Cesarean section scar.
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Fig. 2
(A) Bladder (arrow) is adhered to anterior abdominal peritoneal wall. (B) Fascia is invaded by endometrial tissue (arrows) and thickened about 4 cm depth.
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Fig. 3
Polypropylene mesh is applied for replacement of fascia defect after removal of endometrial tissue.
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Fig. 4
(A) Gross view of resected endometrial mass from the fascia of abdominal wall. The margin of mass is irregular, tinged with dark brown colored spotts. (B) No abnormal finding in uterus.
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Fig. 5
Microscopic finding of abdominal wall mass: development of secretory endometrial glands surrounded by stroma (H&E, ×100).
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