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; Eouani Max Lévy Eméry; Mouamba Fabien Gaël; Ali-Zaoro Fayçal Khalil; Mokoko Jules César; Itoua Clautaire; Pecko Jean Félix; Iloki Léon Hervé

doi:doi:10.11648/j.jgo.20200801.16

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, Eouani Max Lévy Eméry, Mouamba Fabien Gaël, Ali-Zaoro Fayçal Khalil, Mokoko Jules César, Itoua Clautaire, Pecko Jean Félix, Iloki Léon Hervé

Published in Journal of Gynecology and Obstetrics (Volume 8, Issue 1)

Received: 17 January 2020 Accepted: 7 February 2020 Published: 14 February 2020

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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.

Published in	Journal of Gynecology and Obstetrics (Volume 8, Issue 1)
DOI	10.11648/j.jgo.20200801.16
Page(s)	24-27
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Endometriosis, Abdominal Wall, Scar, Caesarean Section, Brazzaville

References

[1]	Paillocher N, Paris L, Bouission F, Cotici V, Croué A, Anglade E, Catala L and Descamps P. Endométriomes Ovariens. EMC (Elsevier Masson SAS, Paris), Gynécologie, 150-A-40, 2006.
[2]	Lamblin G, Mathevet P, Buenerd A. Parietal Endometriosis on Abdominal Scar, About Three Observations. J Gynecol Obstet Biol Reprod 1999; 28: 271–4.
[3]	Mounia Z, Abdellah B, Mehdi H, Jaouad K, Driss RM, Mohamed D. Parietal Endometriosis about Seven Cases and Review of the Literature. Global Journal of Medical Research (E) Gynecology and Obstetrics 2016; 16 (1): 32–8.
[4]	El Fahssi M, Lomdo M, Bounaim A, Ali AA and Sair K. Parietal - Scar Endometriosis After Cesarean Section: A Rare Entity. Pan Afr Med J 2016; 24: 79.
[5]	Jayi S, Laadioui M, Bouguern H, Chaara H and Melhouf A. Endometriosis of the Abdominal Wall: About A Rare Case. Pan Afr Med J 2013; 15: 86.
[6]	Audebert A. Iatrogenic Endometriosis During Reproductive Age: Main Issues? Gynecol Obstet Fertil 2013; 41 (5): 322–7.
[7]	Hafidi R, Kouach J, Yakka M, Salek G, Oukabli M, Moussaoui R-D, Dehayni M. Endometriosis of an Abdominal Wall Scar. Imagerie de la Femme (2011) 21, 125–7.
[8]	Durand X, Daligand H, Aubert P, Baranger B. Abdominal Wall Endometriosis. J Visc Surg 2010; 147: 354–9.
[9]	Horton JD, Dezee KJ, Ahnfeldt EP, Wagner M. Abdominal Wall Endometriosis: A Surgeon’s Perspective and Review of 455 Cases. Am J Surg 2008; 1 (96): 207–12.
[10]	Patterson GK, Winburn GB. Abdominal Wall Endometriomas: Report of Eight Cases. Am Surg 1999; 65: 36–9.
[11]	Bouhout T, Serji B, Egyir EU, El Amri B, Bouhout I, Soufi M, Bouziane M and El Harroudi M. Abdominal Wall Endometriosis: about a case. Pan Afr Med J 2018; 30: 4.
[12]	Onbas O, Kantarci M, Alper F, Kumtepe Y, Durur I, Ingec M, and al. Nodular Endometriosis: Dynamic MR Imaging. Abdom imaging 2007; 32 (4): 451–6.
[13]	Witz CA. Current Concepts in the Pathogenesis of Endometriosis. Clin Obstet Gynecol 1999; 42 (3): 566–85.
[14]	Kotwall CA, Kirkbride P, Zerafa AE, Murray D. Endometrial Cancer and Abdominal Wound Recurrence. Gynecol Oncol 1994; 53 (3): 357–60.

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Buambo Gauthier Régis Jostin, Eouani Max Lévy Eméry, Mouamba Fabien Gaël, Ali-Zaoro Fayçal Khalil, Mokoko Jules César, et al. (2020). 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, 8(1), 24-27. https://doi.org/10.11648/j.jgo.20200801.16

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ACS Style

Buambo Gauthier Régis Jostin; Eouani Max Lévy Eméry; Mouamba Fabien Gaël; Ali-Zaoro Fayçal Khalil; Mokoko Jules César, et al. Post-caesarean Section Cicatricial Parietal Endometriosis: Case Report and Review of the Literature at the Brazzaville University Hospital (Republic of Congo). J. Gynecol. Obstet. 2020, 8(1), 24-27. doi: 10.11648/j.jgo.20200801.16

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AMA Style

Buambo Gauthier Régis Jostin, Eouani Max Lévy Eméry, Mouamba Fabien Gaël, Ali-Zaoro Fayçal Khalil, Mokoko Jules César, et al. Post-caesarean Section Cicatricial Parietal Endometriosis: Case Report and Review of the Literature at the Brazzaville University Hospital (Republic of Congo). J Gynecol Obstet. 2020;8(1):24-27. doi: 10.11648/j.jgo.20200801.16

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@article{10.11648/j.jgo.20200801.16,
  author = {Buambo Gauthier Régis Jostin and Eouani Max Lévy Eméry and Mouamba Fabien Gaël and Ali-Zaoro Fayçal Khalil and Mokoko Jules César and Itoua Clautaire and Pecko Jean Félix and Iloki Léon Hervé},
  title = {Post-caesarean Section Cicatricial Parietal Endometriosis: Case Report and Review of the Literature at the Brazzaville University Hospital (Republic of Congo)},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {8},
  number = {1},
  pages = {24-27},
  doi = {10.11648/j.jgo.20200801.16},
  url = {https://doi.org/10.11648/j.jgo.20200801.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20200801.16},
  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.},
 year = {2020}
}

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TY  - JOUR
T1  - Post-caesarean Section Cicatricial Parietal Endometriosis: Case Report and Review of the Literature at the Brazzaville University Hospital (Republic of Congo)
AU  - Buambo Gauthier Régis Jostin
AU  - Eouani Max Lévy Eméry
AU  - Mouamba Fabien Gaël
AU  - Ali-Zaoro Fayçal Khalil
AU  - Mokoko Jules César
AU  - Itoua Clautaire
AU  - Pecko Jean Félix
AU  - Iloki Léon Hervé
Y1  - 2020/02/14
PY  - 2020
N1  - https://doi.org/10.11648/j.jgo.20200801.16
DO  - 10.11648/j.jgo.20200801.16
T2  - Journal of Gynecology and Obstetrics
JF  - Journal of Gynecology and Obstetrics
JO  - Journal of Gynecology and Obstetrics
SP  - 24
EP  - 27
PB  - Science Publishing Group
SN  - 2376-7820
UR  - https://doi.org/10.11648/j.jgo.20200801.16
AB  - 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.
VL  - 8
IS  - 1
ER  -

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Author Information

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
Ali-Zaoro Fayçal Khalil
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

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APA Style

Buambo Gauthier Régis Jostin, Eouani Max Lévy Eméry, Mouamba Fabien Gaël, Ali-Zaoro Fayçal Khalil, Mokoko Jules César, et al. (2020). 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, 8(1), 24-27. https://doi.org/10.11648/j.jgo.20200801.16

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ACS Style

Buambo Gauthier Régis Jostin; Eouani Max Lévy Eméry; Mouamba Fabien Gaël; Ali-Zaoro Fayçal Khalil; Mokoko Jules César, et al. Post-caesarean Section Cicatricial Parietal Endometriosis: Case Report and Review of the Literature at the Brazzaville University Hospital (Republic of Congo). J. Gynecol. Obstet. 2020, 8(1), 24-27. doi: 10.11648/j.jgo.20200801.16

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AMA Style

Buambo Gauthier Régis Jostin, Eouani Max Lévy Eméry, Mouamba Fabien Gaël, Ali-Zaoro Fayçal Khalil, Mokoko Jules César, et al. Post-caesarean Section Cicatricial Parietal Endometriosis: Case Report and Review of the Literature at the Brazzaville University Hospital (Republic of Congo). J Gynecol Obstet. 2020;8(1):24-27. doi: 10.11648/j.jgo.20200801.16

Copy | Download

@article{10.11648/j.jgo.20200801.16,
  author = {Buambo Gauthier Régis Jostin and Eouani Max Lévy Eméry and Mouamba Fabien Gaël and Ali-Zaoro Fayçal Khalil and Mokoko Jules César and Itoua Clautaire and Pecko Jean Félix and Iloki Léon Hervé},
  title = {Post-caesarean Section Cicatricial Parietal Endometriosis: Case Report and Review of the Literature at the Brazzaville University Hospital (Republic of Congo)},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {8},
  number = {1},
  pages = {24-27},
  doi = {10.11648/j.jgo.20200801.16},
  url = {https://doi.org/10.11648/j.jgo.20200801.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20200801.16},
  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.},
 year = {2020}
}

Copy | Download

TY  - JOUR
T1  - Post-caesarean Section Cicatricial Parietal Endometriosis: Case Report and Review of the Literature at the Brazzaville University Hospital (Republic of Congo)
AU  - Buambo Gauthier Régis Jostin
AU  - Eouani Max Lévy Eméry
AU  - Mouamba Fabien Gaël
AU  - Ali-Zaoro Fayçal Khalil
AU  - Mokoko Jules César
AU  - Itoua Clautaire
AU  - Pecko Jean Félix
AU  - Iloki Léon Hervé
Y1  - 2020/02/14
PY  - 2020
N1  - https://doi.org/10.11648/j.jgo.20200801.16
DO  - 10.11648/j.jgo.20200801.16
T2  - Journal of Gynecology and Obstetrics
JF  - Journal of Gynecology and Obstetrics
JO  - Journal of Gynecology and Obstetrics
SP  - 24
EP  - 27
PB  - Science Publishing Group
SN  - 2376-7820
UR  - https://doi.org/10.11648/j.jgo.20200801.16
AB  - 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.
VL  - 8
IS  - 1
ER  -

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