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Various lesions can cause acute or chronic pain in the abdominal wall. Localized tenderness often occurs in surgical scars several months after surgery because of the formation of neuromas. Endometriosis tends to recur in surgical scars. 7 , 8 Hematomas of the abdominal wall or rectus sheath can occur spontaneously or after surgery, trauma or pregnancy. 9 , 10 Desmoid tumors can also cause chronic abdominal pain. 11 Athletes have been found to develop abdominal wall pain related to myofascial tears or idiopathic intra-abdominal adhesions. 12 , 13

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