Infected endometrioma of the abdominal wall: a rare cause of
Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...
A 45-year-old G3P2012 with two prior cesarean sections and a total laparoscopic hysterectomy for endometriosis, presents to the hospital with severe focal abdominal pain, fevers, and skin erythema. She has a known history of abdominal wall endometriosis treated with norethindrone and declined excision of the abdominal wall endometrioma at the time of her hysterectomy. She discontinued her norethindrone five days prior to the presentation. On exam she had an 8 cm tender subcutaneous nodule and a 10.0 × 20.0 cm area of induration, erythema, and tenderness consistent with cellulitis.

Abdominal ultrasound and CT showed a left rectus muscle endometrioma measuring 4.6 × 3.0 × 9.1 cm ( Figure 3, 4). She was admitted to the hospital for three days of intravenous antibiotics and discharged on Bactrim and Aygestin. She is scheduled for a BSO, endometriosis resection and abdominal wall reconstruction in combination with plastic surgery once her infection resolves (given the high likelihood of requiring mesh for the reconstruction).

Source:https://www.jmig.org/article/S1553-4650(20)30181-3/fulltext?rss=yes
Dr. R●●●a G and 2 other likes this
Like
Comment
Share