Open Access
CC BY 4.0 · Arch Plast Surg 2025; 52(02): 076-081
DOI: 10.1055/a-2336-0073
Breast/Trunk
Case Report

Abdominal Wall Reconstruction in Abdominal Wall Endometriosis: A Case Report and Literature Review

Otis C. van Varsseveld 
1   Department of Surgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
2   Department of Plastic, Reconstructive and Hand Surgery, Curaçao Medical Center, Willemstad, Curaçao
,
Gustavo G. Koeijers 
2   Department of Plastic, Reconstructive and Hand Surgery, Curaçao Medical Center, Willemstad, Curaçao
,
Juan M. Rodriguez Vitoria 
3   Department of Surgery, Curaçao Medical Center, Willemstad, Curaçao
,
Igor Gomes Bravio 
4   Department of Obstetrics & Gynecology, Curaçao Medical Center, Willemstad, Curaçao
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Funding The open-access article processing charges were paid through the University of Groningen open-access fund. The funders had no role in study design, data collection and analysis, the decision to publish, or the preparation of the manuscript. All authors declare neither financial interests nor conflict of interest.
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Abstract

Abdominal wall endometriosis (AWE) is a rare condition representing 1% of patients operated for endometriosis. We describe a case of a 26-year-old woman, with a history of cesarean delivery, who presented with cyclical pain and a subcutaneous mass in the lower abdomen. Where most AWE lesions may be surgically managed by a single surgeon, imaging revealed an unusually large lesion (13 × 4 × 10 cm) involving the rectus abdominis muscle. Plastic, gynecologic, and general surgeons combined their expertise to conduct AWE excision combined with miniabdominoplasty in a single procedure. After resection, a retrorectus mesh (Rives–Stoppa technique) reinforced the primarily closed posterior rectus sheath and an inlay mesh bridged the defect left in the anterior rectus sheath. The patient was discharged 3 days postoperatively, had minimal pain complaints, and was satisfied with cosmetic results at 1-month and later follow ups. One year postoperatively, she gave uncomplicated vaginal birth. We conclude that, in select cases, management of a large, symptomatic AWE may benefit from a multidisciplinary approach, where symptom relief and an aesthetically pleasing result for the patient can be achieved in a single procedure. We distinctively describe double mesh repair as a viable consideration for reconstruction in AWE and review current considerations in mesh repair of the abdominal wall. Further studies into this topic are warranted.

Keywords

surgery - plastic - abdominoplasty - endometriosis - surgical mesh - abdominal wall

Authors' Contributions

O.C.v.V: conceptualization, investigation, methodology, visualization, project administration, writing—original draft.


G.G.K: conceptualization, investigation, methodology, supervision, visualization, writing—review and editing.


J.M.R.V.: Investigation, methodology, validation, visualization, writing—review and editing.


I.G.B.: investigation, methodology, validation, visualization, writing—review and editing.


Ethical Approval

This case report and the described procedures were conducted in accordance with the Declaration of Helsinki.


Patient Consent

Written informed consent was obtained from the patient prior to the conception of the manuscript.




Publikationsverlauf

Eingereicht: 13. Juli 2023

Angenommen: 28. Mai 2024

Accepted Manuscript online:
30. Mai 2024

Artikel online veröffentlicht:
11. März 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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