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Post-Cesarean Section Abdominal Wall Endometrioma

A 30-year-old female with a history of multiple cesarean sections presents to the emergency department with several months of right lower quadrant abdominal pain only associated with her menstrual cycles. CT abdomen and pelvis with contrast was remarkable for an abdominal wall mass that likely repre...

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Detalles Bibliográficos
Autores principales: Mao, Allen, Rana, Hunaid N, Steffler, Brad, Figarola, Suzy
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7522165/
https://www.ncbi.nlm.nih.gov/pubmed/33005511
http://dx.doi.org/10.7759/cureus.10088
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author Mao, Allen
Rana, Hunaid N
Steffler, Brad
Figarola, Suzy
author_facet Mao, Allen
Rana, Hunaid N
Steffler, Brad
Figarola, Suzy
author_sort Mao, Allen
collection PubMed
description A 30-year-old female with a history of multiple cesarean sections presents to the emergency department with several months of right lower quadrant abdominal pain only associated with her menstrual cycles. CT abdomen and pelvis with contrast was remarkable for an abdominal wall mass that likely represented an endometrioma, and she was subsequently discharged with pain medications and conservative treatment. However, three months later, she returned to the ED, because her pain was unbearable and refractory to medical management. Interventional radiology was consulted for percutaneous biopsy of the soft tissue mass located in her rectus abdominus muscle. Following the procedure, the patient was started on ORILISSA(®) (elagolix), the first FDA-approved oral treatment for the management of severe pain associated with endometriosis. We highlight an interesting case of post-cesarean section abdominal wall endometrioma implantation and describe the patient’s clinical course and disease management. The radiographic features of the mass are described and proposed mechanisms for the development of an abdominal wall endometrioma following a C-section is discussed.
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spelling pubmed-75221652020-09-30 Post-Cesarean Section Abdominal Wall Endometrioma Mao, Allen Rana, Hunaid N Steffler, Brad Figarola, Suzy Cureus Medical Education A 30-year-old female with a history of multiple cesarean sections presents to the emergency department with several months of right lower quadrant abdominal pain only associated with her menstrual cycles. CT abdomen and pelvis with contrast was remarkable for an abdominal wall mass that likely represented an endometrioma, and she was subsequently discharged with pain medications and conservative treatment. However, three months later, she returned to the ED, because her pain was unbearable and refractory to medical management. Interventional radiology was consulted for percutaneous biopsy of the soft tissue mass located in her rectus abdominus muscle. Following the procedure, the patient was started on ORILISSA(®) (elagolix), the first FDA-approved oral treatment for the management of severe pain associated with endometriosis. We highlight an interesting case of post-cesarean section abdominal wall endometrioma implantation and describe the patient’s clinical course and disease management. The radiographic features of the mass are described and proposed mechanisms for the development of an abdominal wall endometrioma following a C-section is discussed. Cureus 2020-08-27 /pmc/articles/PMC7522165/ /pubmed/33005511 http://dx.doi.org/10.7759/cureus.10088 Text en Copyright © 2020, Mao et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Medical Education
Mao, Allen
Rana, Hunaid N
Steffler, Brad
Figarola, Suzy
Post-Cesarean Section Abdominal Wall Endometrioma
title Post-Cesarean Section Abdominal Wall Endometrioma
title_full Post-Cesarean Section Abdominal Wall Endometrioma
title_fullStr Post-Cesarean Section Abdominal Wall Endometrioma
title_full_unstemmed Post-Cesarean Section Abdominal Wall Endometrioma
title_short Post-Cesarean Section Abdominal Wall Endometrioma
title_sort post-cesarean section abdominal wall endometrioma
topic Medical Education
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7522165/
https://www.ncbi.nlm.nih.gov/pubmed/33005511
http://dx.doi.org/10.7759/cureus.10088
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