Endometriosis of the Rectus Abdominis Muscle: A Rare Cause of Emergency Department Visit; Case Report:

Murat Seyit; Yalcin Sonmez; Atakan Yilmaz; Mert Ozen

doi:10.33695/rojes.v2i2.25

Murat Seyit Department of Emergency Medicine, Pamukkale University Hospital, Pamukkale University of Medical Sciences, 20070, Kinikli/Denizli, TR Turkey
Yalcin Sonmez
Atakan Yilmaz
Mert Ozen

DOI: https://doi.org/10.33695/rojes.v2i2.25

Keywords: Emergency service, endometriosis, pain, rectus abdominis muscle

Abstract

Introduction: Endometriosis affects approximately 10% of the reproductive age woman. Although the most common affected sites are ovaries, sacrouterine ligament, rectovaginal septum, and pelvic peritoneum, it can be located in any organ. Endometriosis of rectus abdominal muscle independent from the cesarean section incision is extremely rare.

Case Presentation: A 31-years-old female was admitted to the emergency department with periodical abdominal pain and distension complaints. Ultrasonography and computed tomography revealed a heterogeneous mass in the rectus abdominis muscle. Surgical excision was performed. Histopathologic examination showed endometrial tissue with glandular and stromal elements within the muscularis propria.

Conclusion: Endometriosis should be kept in mind in the differential diagnosis of atypical pain and mass of the abdominal wall in the emergency settings.

References

1. Hickey M, Ballard K, Farquhar C. Endometriosis. BMJ. 2014;348: g1752.
2. Karaman H, Bulut F, Özaşlamacı A. Endometriosis externa within the rectus abdominis muscle. Ulus Cerrahi Derg. 2014;30(3): 165-168.
3. Aimakhu VE. Anterior abdominal wall endometriosis complicating a uteroabdominal sinus following classical cesarean section. Int Surg. 1975;60(2): 103-104.
4. Koger KE, Shatney CH, Hodge K, McClenathan JH. Surgical scar endometrioma. Surg Gynecol Obstet. 1993;177(3): 243-246.
5. Papavramidis TS, Sapalidis K, Michalopoulos N, et al. Spontaneous abdominal wall endometriosis: a case report. Acta Chir Belg. 2009;109(6): 778-781.
6. Bozkurt M, Çil AS, Bozkurt DK. Intramuscular abdominal wall endometriosis treated by ultrasound-guided ethanol injection. Clin Med Res. 2014;12(3-4): 160-165.
7. Coccia ME, Rizzello F, Nannini S, Cozzolino M, Capezzuoli T, Castiglione F. Ultrasound-guided excision of rectus abdominis muscle endometriosis. J Obstet Gynaecol Res. 2015;41(1): 149-152.