Multimodality imaging and clinicopathologic assessment of abdominal wall endometriosis: knocking down the enigma

Jaramillo-Cardoso, Adrian; Balcacer, Patricia; Garces-Descovich, Alejandro; Beker, Kevin; Roth, Eve M.; Glickman, Jonathan N.; Mortelé, Koenraad J.

doi:10.1007/s00261-018-1666-1

Cited by 16 publications

(13 citation statements)

References 30 publications

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“…Diagnostic rates on CT and US are low, with undiagnosed endometriosis in 77-100% of the cases, while MRI establishes the correct diagnosis in 75% of the cases [3]. It seems that radiologists are in general not familiar with the spectrum of endometriosis imaging features.…”

Section: Discussionmentioning

confidence: 99%

“…Most commonly, they present as solid, nodular masses, sometimes stellate clearly defined margins [1]. Recent research has confirmed that heterogenous echogenicity is most common, representing the distribution of fibrous and hemorrhagic components, and varying across the menstrual cycle www.srpskiarhiv.rs [1,3]. Internal echogenic spots or thick strands represent the fibrotic tissue component [2].…”

Section: Discussionmentioning

confidence: 99%

“…Contrast enhancement of the lesions is mild to moderate, with depiction of the feeding vessels within or adjacent to the nodule [2]. Internally, it can contain blood products with variable attenuation (dependent on chronicity and the menstrual cycle phase) [3].…”

Section: Discussionmentioning

confidence: 99%

“…Abdominal wall endometriosis (AWE) represents a challenging and underestimated diagnosis for both clinicians and radiologists due to its rarity [1,2,3]. However, it seems to be the most frequent localization of the extra-pelvic endometriosis [3,4]. In the past, imaging did not represent a significant part of presurgical assessment, providing only scarce information on general radiological features of AWE [3].…”

Section: Introductionmentioning

confidence: 99%

“…However, it seems to be the most frequent localization of the extra-pelvic endometriosis [3,4]. In the past, imaging did not represent a significant part of presurgical assessment, providing only scarce information on general radiological features of AWE [3].…”

Section: Introductionmentioning

confidence: 99%

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Abdominal wall endometriosis: clinical presentation, imaging features and management of five cases

et al. 2020

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Introduction Endometriosis represents a functional endometrium outside the uterine cavity. Ectopic endometrial tissue has been identified within the pelvis, affecting both pelvic and extrapelvic organs, causing recurrent pelvic or abdominal pain corresponding to the menstrual cycle. The incidence of abdominal wall endometriosis after Cesarean section is approximately 2%. It is often mistaken for other conditions primarily because this condition is underestimated on imaging. The objective of this case series is to summarize possible clinical and radiological presentations of this uncommon condition. Outline of cases The authors present a case series of five patients who developed abdominal wall endometriosis after Cesarean section. Having been diagnosed clinically, the patients underwent open abdominal surgery, and were treated by surgical resection. Conclusion Good clinical practice and excellent surgical techniques may help in preventing endometriosis, while adequate clinical examination and proper imaging can help in presurgical planning and successful definitive treatment.

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Section: Discussionmentioning

confidence: 99%