Spontaneous Abdominal Wall Endometriosis, A Case Report And A Literature Review

Endometriosis is a well defined but not such well understood benign gynaecological condition that consists on the presence of endometrial gland and stroma outside the uterus and that affects 10-15 % of reproductive age woman (Kovacs P. Conference Report 2002). The abdominal wall is the commonest extra pelvic implantation site, usually on previous laparotomic or laparoscopic scars. In this paper we report un uncommon case of spontaneous endometriosis of the abdominal wall with no previous surgery or delivery. Introduction Abdominal wall endometriosis is a relatively rare condition, usually presented in a previously performed abdominal incision. Case presentation We present a case of a young female patient with an abdominal mass, with no previous surgery, that the histopathology report revealed to be an endometriotic lesion. Conclusion Abdominal endometriosis can develop spontaneously supporting the coelomatic metaplasia theory, developed by Metzger by 1991.