Volume 8, Issue 1, January 2020, Page: 24-27
Post-caesarean Section Cicatricial Parietal Endometriosis: Case Report and Review of the Literature at the Brazzaville University Hospital (Republic of Congo)
Buambo Gauthier Régis Jostin, Department of Gynecology Obstetrics, University Hospital of Brazzaville, Brazzaville, Congo
Eouani Max Lévy Eméry, Department of Gynecology Obstetrics, Loandjili Hospital, Pointe Noire, Congo
Mouamba Fabien Gaël, Department of Pathological Cytology and Anatomy, University Hospital of Brazzaville, Brazzaville, Congo
Ali-Zaoro Fayçal Khalil, Department of Gynecology Obstetrics, University Hospital of Brazzaville, Brazzaville, Congo
Mokoko Jules César, Department of Gynecology Obstetrics, University Hospital of Brazzaville, Brazzaville, Congo
Itoua Clautaire, Department of Gynecology Obstetrics, University Hospital of Brazzaville, Brazzaville, Congo
Pecko Jean Félix, Department of Pathological Cytology and Anatomy, University Hospital of Brazzaville, Brazzaville, Congo
Iloki Léon Hervé, Department of Gynecology Obstetrics, University Hospital of Brazzaville, Brazzaville, Congo
Received: Jan. 17, 2020;       Accepted: Feb. 7, 2020;       Published: Feb. 14, 2020
DOI: 10.11648/j.jgo.20200801.16      View  410      Downloads  126
Abstract
Introduction: Defined as the implantation of endometrial tissue within parietal abdominal structures more superficial than the peritoneum, parietal endometriosis is an exceptional localization of extragenital endometriosis, most often secondary to gynecological obstetric surgery. Clinical observation: We report the case of a 32-year-old patient presenting with an abdominal parietal pain syndrome in comparison with a post-caesarean cutaneous cicatrix, cyclic and rhythmic by menstruation. Ultrasonography of the soft tissues revealed two anterior, heterogeneous hypoechoic nodules with posterior reinforcement. A wide surgery with 1cm of healthy margin allowed the excision of the nodule interesting the subcutaneous tissue and the aponeurosis of the rectus abdominis muscle. The histology was in favour of a focal endometriosis of the abdominal wall extended to the fascia of the rectus muscle. Microscopic examination revealed endometrial glands of variable size, sometimes dilated, bordered by regular cylindrical epithelium, associated with a cytogenic chorion and lymphocytic inflammation, sometimes with blood. Immediate postoperative outcomes were simple. An LHRH analogue protocol (Leuprolide acetate 3.75 mg in one intramuscular injection every 28 days for 6 months) was instituted. Conclusion: Although exceptional, it is appropriate to think of an endometriosis before an abdominal pain syndrome abdominal wall of the woman during periods of genital activity.
Keywords
Endometriosis, Abdominal Wall, Scar, Caesarean Section, Brazzaville
To cite this article
Buambo Gauthier Régis Jostin, Eouani Max Lévy Eméry, Mouamba Fabien Gaël, Ali-Zaoro Fayçal Khalil, Mokoko Jules César, Itoua Clautaire, Pecko Jean Félix, Iloki Léon Hervé, Post-caesarean Section Cicatricial Parietal Endometriosis: Case Report and Review of the Literature at the Brazzaville University Hospital (Republic of Congo), Journal of Gynecology and Obstetrics. Vol. 8, No. 1, 2020, pp. 24-27. doi: 10.11648/j.jgo.20200801.16
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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