Anterior Abdominal Wall Endometriosis. Surgical Treatment of a Complicated Clinical Case

INTRODUCTION: Endometriosis of the anterior abdominal wall (EAW) is a rare pathology, so all cases of monitoring the results of treatment are undoubtedly of interest to the surgical community. In most patients, during operations involving the opening of the uterine cavity, endometrial cells enter the edges of the surgical wound, which in some cases causes the development of EAW. In the described clinical case, surgical treatment in the amount of removal of the endometrioid focus within healthy tissues served as a radical therapeutic intervention, and the appointment of fourth-generation progestogens in the postoperative period helped preventing relapse of the disease in the future. Thus, according to the assessment of clinical symptoms, regression of pain was noted, with its complete disappearance during the first months after surgery. According to the ultrasound examination data, restoration of the anatomical integrity of the anterior abdominal wall was achieved without the formation of defects. Secondary foci of endometriosis were not detected. CONCLUSION: The presented clinical case clearly demonstrated the mistakes made in the conservative treatment of a patient with EAW. This led to an aggravation of the severity of the disease, technical difficulties during the surgical intervention (including the impossibility of autoplasty), which required closure of the defect with a synthetic mesh implant.