Endometriosis incisional. Un hallazgo infradiagnosticado en cirugía general

Incisional endometriosis is a rare finding in general surgery and is often mistaken for other clinical entities that are more common in our surgical setting such as incarcerated hernia, lipoma or foreign body. Diagnosis is based on clinical findings, especially if the presentation is cyclical and related to menstruation. The definitive treatment is surgery, and a mesh plasty is sometimes required to cover the aponeurotic defect left after excision with safety margins. We present three new cases in women of reproductive age with previous gynecological surgery who developed incisional tumors at the Pfannenstiel incision site. The first case posed a differential diagnosis between a granuloma to a foreign body versus an incarcerated hernia. In the remaining cases, because the tumor-associated painwas cyclical, a possible diagnosis of incisional endometriosis was considered. However, the definitive diagnoses were given by histology after excision of the specimen. In two patients a mesh plasty was required.