Cutaneous endometriosis.
BACKGROUND
Cutaneous or subcutaneous endometriosis is a rare entity that is an often overlooked because of chronic abdominal pain.


METHODS
We reviewed the ten cases of cutaneous endometriosis that presented to this hospital over a seven-year period.


RESULTS
The mean age of patients at presentation was 36.3 years. All our patients presented with cyclical abdominal pain. There was a considerable delay in the diagnosis and offer of treatment, the mean length of time between onset of symptoms to surgery being 31.7 months (range 1-62 months). The onset was spontaneous in 40 percent of our patients and the rest had scar endometriosis. The patients with spontaneous onset of disease had a more severe pelvic disease compared to those with scar endometriosis. Complete surgical excision was curative but left a large defect requiring polypropylene mesh repair in two patients.


CONCLUSIONS
Cutaneous endometriosis should be suspected in any female presenting with cyclic or non-cyclic pain emanating from a mass in the vicinity of a previous surgical scar, the umbilicus or in the inguinal region. Surgical excision of the cutaneous endometriotic implants can be easily performed and is curative.
Agarwal
A
A
Department of Obstetrics & Gynaecology, National University Hospital, 5 Lower Kent Ridge Road, Singapore 11974. dr_anupriya@yahoo.com
Fong
Y F
YF
D015746:Abdominal Pain; D000328:Adult; D002921:Cicatrix / Q000150:complications*; D004715:Endometriosis / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D005260:Female; D006801:Humans; D008875:Middle Aged; D011126:Polypropylenes; D011183:Postoperative Complications; D012871:Skin Diseases / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D013526:Surgical Mesh; D013997:Time Factors; D016896:Treatment Outcome
D011126:Polypropylenes