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Analysis of clinical factors in endometriosis of the abdominal wall

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Názov: Analysis of clinical factors in endometriosis of the abdominal wall
Autori: Qiucheng Jia, Huimin Tang, Wanying Chen, Weiwei Wei, Hong Zheng, Arong Liu, Jiming Chen
Zdroj: BMC Women's Health, Vol 25, Iss 1, Pp 1-9 (2025)
Informácie o vydavateľovi: BMC, 2025.
Rok vydania: 2025
Zbierka: LCC:Gynecology and obstetrics
LCC:Public aspects of medicine
Predmety: Abdominal wall endometriosis, Lesion typing, History of abdominal wall surgery, Gynecology and obstetrics, RG1-991, Public aspects of medicine, RA1-1270
Popis: Abstract Background The abdominal wall is one of the rare sites of endometriosis, and its clinical incidence is increasing year by year with the increasing cesarean section rate nowadays. Methods A retrospective analysis was made on patients with abdominal wall endometriosis who attended Changzhou Second Hospital of Nanjing Medical University from January 2013 to December 2022. They were grouped by depth of infiltration of lesion and direction of incision, and the differences between the groups were compared. Results A total of 228 patients aged 32.7 ± 4.2 with abdominal wall endometriosis were included in this study, including 210 cases with a history of abdominal transverse incision surgery, 16 cases with a history of vertical incision surgery, 1 case with a history of uterine fibroids surgery, and 1 case with primary abdominal endometriosis, and 178 cases with the primary symptom of cyclic pain. The patients were classified as solitary and complex ones according to the number of lesions. Both groups were statistically significant for BMI, number of caesarean sections, operation time, bleeding, and postoperative hospital stay (p 0.05). On imaging, magnetic resonance imaging was more accurate for lesion typing. Conclusion AWE should be diagnosed early and treated surgically. The clinical manifestations of the same type are different, and CA125 testing and abdominal wall ultrasound can be used preoperatively for lesion typing. Nuclear magnetic resonance (NMR) may be used to improve preoperative preparations for difficult diagnosis or typing.
Druh dokumentu: article
Popis súboru: electronic resource
Jazyk: English
ISSN: 1472-6874
Relation: https://doaj.org/toc/1472-6874
DOI: 10.1186/s12905-025-03660-z
Prístupová URL adresa: https://doaj.org/article/5539629809dd4ccb8cc6f9355ea932f4
Prístupové číslo: edsdoj.5539629809dd4ccb8cc6f9355ea932f4
Databáza: Directory of Open Access Journals
Popis
Abstrakt:Abstract Background The abdominal wall is one of the rare sites of endometriosis, and its clinical incidence is increasing year by year with the increasing cesarean section rate nowadays. Methods A retrospective analysis was made on patients with abdominal wall endometriosis who attended Changzhou Second Hospital of Nanjing Medical University from January 2013 to December 2022. They were grouped by depth of infiltration of lesion and direction of incision, and the differences between the groups were compared. Results A total of 228 patients aged 32.7 ± 4.2 with abdominal wall endometriosis were included in this study, including 210 cases with a history of abdominal transverse incision surgery, 16 cases with a history of vertical incision surgery, 1 case with a history of uterine fibroids surgery, and 1 case with primary abdominal endometriosis, and 178 cases with the primary symptom of cyclic pain. The patients were classified as solitary and complex ones according to the number of lesions. Both groups were statistically significant for BMI, number of caesarean sections, operation time, bleeding, and postoperative hospital stay (p 0.05). On imaging, magnetic resonance imaging was more accurate for lesion typing. Conclusion AWE should be diagnosed early and treated surgically. The clinical manifestations of the same type are different, and CA125 testing and abdominal wall ultrasound can be used preoperatively for lesion typing. Nuclear magnetic resonance (NMR) may be used to improve preoperative preparations for difficult diagnosis or typing.
ISSN:14726874
DOI:10.1186/s12905-025-03660-z