Abstract:

A case of abdominal wall endometriosis involving pubic bone was successfully treated by surgical. The patient was diagnosed by abdominal wall ultrasound, pelvic magnetic resonance imaging and finally confirmed by fine needle biopsy. After admission, a multidisciplinary team including gynecologists, general surgeons, hernia surgeons, orthopedic surgeons and urologists was established to discuss and recommend surgical removal of abdominal wall endometriosis mass. The operation was completed by the multidisciplinary treatment team. Endometriosis was found in abdominal wall muscle, peritoneum and pubic symphysis. The endometriosis mass in the abdominal wall and pubic bone was completely removed. Because there were many abdominal muscles and fascia excised, the abdominal wall defect could not be sutured routinely. The abdominal wall defect was repaired with patches. The patient recovered well without complications and was followed up well. The successful treatment of this case showed that adequate preoperative examination and the cooperation of multidisciplinary treatment team were the key to the treatment of patients with complex abdominal wall endometriosis. For endometriosis involving pubic bone, tension-free hernia repair technique and postoperative compression bandage can be used as an alternative treatment for abdominal wall defect.

Key words: Endometriosis, Abdominal wall, Patch, Diagnosis, Therapy, Case reports