Open AccessEndometriosis of the Rectus Abdominis Muscle: A Rare Cause of Emergency Department Visit; Case Report
Author(s) -
Murat Seyit,
Yalçın Sönmez,
Atakan Yılmaz,
Mert Özen
Publication year - 2021
Publication title -
romanian journal of emergency surgery
Language(s) - English
Resource type - Journals
eISSN - 2668-8085
pISSN - 2668-7453
DOI - 10.33695/rojes.v2i2.25
Subject(s) - medicine , endometriosis , rectus abdominis muscle , abdominal distension , surgery , abdominal wall , differential diagnosis , emergency department , abdominal pain , presentation (obstetrics) , round ligament , radiology , gynecology , uterus , pathology , psychiatry
Introduction: Endometriosis affects approximately 10% of the reproductive age woman. Although the most common affected sites are ovaries, sacrouterine ligament, rectovaginal septum, and pelvic peritoneum, it can be located in any organ. Endometriosis of rectus abdominal muscle independent from the cesarean section incision is extremely rare.
Case Presentation: A 31-years-old female was admitted to the emergency department with periodical abdominal pain and distension complaints. Ultrasonography and computed tomography revealed a heterogeneous mass in the rectus abdominis muscle. Surgical excision was performed. Histopathologic examination showed endometrial tissue with glandular and stromal elements within the muscularis propria.
Conclusion: Endometriosis should be kept in mind in the differential diagnosis of atypical pain and mass of the abdominal wall in the emergency settings.