Endometriosis of the Abdominal Wall: Three Cases Report

Introduction and Importance: Endometriosis of the abdominal wall is a rare disease that usually develops on a caesarean scar. Although frequently observed in the cutaneous and subcutaneous adipose tissue in front of the caesarean scar, its intramuscular localisation is possible but remains rare. Case Presentation: We report three cases of parietal endometriosis occurring on a Pfannenstiel scar after caesarean section, their surgical management and evolution, in the department of gynecological-mammary surgery of CHU Ibn Rochd Casablanca Hospital. Clinical Discussion: Endometriosis is defined as the ectopic implantation of the functional endometrial epithelium outside the uterine cavity. The pathophysiology of endometriosis is still poorly understood. The interest of the scanner lies in the study of the deep invasion of the lesions. MRI is the examination of choice. The reference treatment for parietal endometriosis is wide surgical exeresis from the outset, even if it means performing a parietoplasty to fill in the aponeurotic dehiscence. Conclusion: Parietal endometriomas are rare. Location on a caesarean scar is the most common. Diagnosis can be difficult. Surgery must be extensive to avoid recurrence. The diagnosis is only confirmed by anatomopathological study. No efficacy of intraoperative preventive measures has yet been demonstrated.