Port site endometrioma: A rare cause of abdominal wall pain following laparoscopic surgery

Zohaib A. Siddiqui, Fahd Husain, Zain Siddiqui, Midhat Siddiqui

Producción científica: Artículo CientíficoArtículo originalrevisión exhaustiva

9 Citas (Scopus)

Resumen

Endometriomas are a rare cause of abdominal wall pain. We report a case of a port site endometrioma presenting with an umbilical swelling. The patient underwent a laparoscopy for pelvic endometriosis 6 months previously and presented with a swelling around her umbilical port site scar associated with cyclical pain during menses. Ultrasound scan reported a well-defined lesion in the umbilicus and MRI scanning excluded other pathology. As she was symptomatic, she underwent an exploration of the scar and excision of the endometrioma with resolution of her symptoms. Precautions should be taken to reduce the risk of endometrial seeding during laparoscopic surgery. All tissues should be removed in an appropriate retrieval bag and the pneumoperitoneum should be deflated completely before removing ports to reduce the chimney effect of tissue being forced through the port site. The diagnosis should be considered in all women of reproductive age presenting with a painful port site scar.

Idioma originalInglés estadounidense
-bcr-2017-219291
PublicaciónBMJ Case Reports
Volumen2017
DOI
EstadoIndizado - 2017
Publicado de forma externa

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© 2017 BMJ Publishing Group Ltd. All rights reserved.

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