PT - JOURNAL ARTICLE AU - Meshikhes, Abdul-Wahed N. AU - Al-Badr, Suha H. AU - Sulais, Ehsan A. AU - Al-Qudaihi, Hibba M. TI - Late metastatic endometrial carcinoma at the repair site of an abdominal wall incisional hernia AID - 10.15537/smj.2017.5.17395 DP - 2017 May 01 TA - Saudi Medical Journal PG - 546--548 VI - 38 IP - 5 4099 - http://smj.org.sa/content/38/5/546.short 4100 - http://smj.org.sa/content/38/5/546.full SO - Saudi Med J2017 May 01; 38 AB - The abdominal wall is a very rare site for endometrial cancer metastases. Its appearance generally indicates advanced cancer with poor prognosis. We report a case of a 55-year-old female who presented with an incisional hernia 4 years after abdominal panhysterectomy for endometrioid adenocarcinoma in 2009. Open hernia mesh repair was performed but on follow-up, she complained of pain and a swelling at the repair site. This was radiologically diagnosed as fibromatosis, but tru-cut biopsy confirmed presence of fibromatosis as well as a metastatic endometrial carcinoma. She was started on neoadjuvant chemotherapy, but had poor response, and therefore, radical excision was performed. She remained well with no metastatic recurrence at 12-month follow-up. This case illustrates late appearance of abdominal wall metastasis from abdomino-pelvic malignancies and highlights the need to exclude the presence of recurrence or metastases prior to surgical repair of incisional hernia occurring after the resection of abdominal or pelvic malignancy.