Endometrioma Localizado en Músculo Recto Abdominal

Abstract

It is defined as endometriosis to the ectopic endometrial tissue, which responds to ovarian hormonal stimulation. It was in 1899 when it was first described the presence of endometrial tissue in an ovary, since then they have identified several sites of ectopic endometrial tissue; the proposed mechanisms include retrograde menstruation, lymphatic or venous spread, metastasis and mechanical transplantation on scars during surgery. When the ectopic endometrial tissue is presented as a circumscribed tumor it is called endometrioma or endometriotic granuloma. Treatment may include the use of oral contraceptives, progesterone and gonadotropin releasing hormone analogues (GnRH). However, optimal management is wide surgical excision by removing all affected tissue. The case of a 32 years old female patient, with 3 caesarean and laparotomy surgical history. Who 9 months later develops an endometrioma located in the abdominal wall; which was initially treated with medroxyprogesterone acetate for 6 months without getting hit so the excision of it is decided, with favorable postoperative results is presented.