Abdominal Wall Endometrioma: A Diagnostic Enigma-A Case Report and Review of the Literature

Background: Abdominal wall endometriomas are quite uncommon. They are usually misdiagnosed
by both the surgeon and the gynaecologist. Awareness of the details of this rare condition is therefore
essential for prompt diagnosis and adequate treatment.
Introduction: Endometriosis though a condition commonly seen in the pelvic region can also occur at
extrapelvic sites giving rise to a diagnostic dilemma. Abdominal wall endometrioma is one such
complex variant of extrapelvic endometriosis with an incidence of less than 2% following gynaecologic
operations.
Case Report: A case of abdominal wall endometrioma diagnosed clinically and treated by wide
surgical resection is presented to highlight the importance of clinical evaluation in the diagnosis of this
condition.
Discussion: The etiopathogenesis, presentation, investigations and management are discussed
briefly.
Conclusion: Clinical evaluation confirmed by supportive imaging is diagnostic. Wide local excision is
the mainstay of treatment.