Rectus abdominis endometrioma

Roberge, Raymond J.; Kantor, Walter J; Scorza, Lari

doi:10.1016/s0735-6757(99)90157-2

Cited by 32 publications

(38 citation statements)

References 13 publications

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“…However USG, computed tomography (CT) and magnetic resonance imaging (MRI) supply adequate information about the size, location and depth of the mass (15) . On USG an endometriosis will most likely present as a vesicular hypoechoic mass and appearance can change dependent on menstruation cycle.…”

Section: Patientsmentioning

confidence: 99%

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Cesarean scar endometriosis: Presentation of eleven clinical cases and review of the literature

Demiral¹,

Aksoy²,

Özçelik³

et al. 2011

J Turk Soc Obstet Gynecol

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Section: Patientsmentioning

confidence: 99%

“…On USG an endometriosis will most likely present as a vesicular hypoechoic mass and appearance can change dependent on menstruation cycle. USG can differantiate between a solid or cystic mass (15) . CT can localize the extent and depth of the lesion.…”

Section: Patientsmentioning

confidence: 99%

Cesarean scar endometriosis: Presentation of eleven clinical cases and review of the literature

Demiral¹,

Aksoy²,

Özçelik³

et al. 2011

J Turk Soc Obstet Gynecol

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“…Endometriosis is an aberrant or heterotopic growth of glands and stroma identical to the lining of the uterus [1]. It is a well-recognized gynaecological condition affecting 8-15% of menopausal women [1,2] and presents infrequently to the general surgeon [3].…”

Section: Introductionmentioning

confidence: 99%

“…It is a well-recognized gynaecological condition affecting 8-15% of menopausal women [1,2] and presents infrequently to the general surgeon [3].…”

Section: Introductionmentioning

confidence: 99%

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Abdominal Scar Endometrioma Mimicking Incisional Hernia: A Diagnostic Pitfall

Alabassi¹,

Farghaly²

2001

Med Princ Pract

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Objective: Abdominal scar endometriosis is a recognized condition that has been described following a wide variety of gynaecological procedures. We report a case of endometrioma, presenting as a painful subumbilical swelling, mimicking an incarcerated incisional hernia. Clinical Presentation: A 35-year-old woman presented with a painful subumbilical swelling that had been present for 6 months, but had increased in size and become more painful the day prior to admission. Her past medical history included four caesarean sections. Physical examination revealed a firm, tender and irreducible subumbilical nodule with no cough impulses, mimicking a small incarcerated incisional hernia. Intervention: Exploratory laparotomy through the same lower midline incision revealed a subcutaneous swelling resembling an organized chocolate cyst of endometriosis. Apart from intra-abdominal adhesions, no connection to intra-abdominal structures was identified. Histopathology of the specimen was consistent with abdominal scar endometriosis. Conclusion: Endometrioma was diagnosed in this 35-year-old woman following histological examination of a specimen removed during laparotomy. It is recommended that endometrioma should be considered in the differential diagnosis of subcutaneous, scar-related hernias and various abdominal wall masses following gynaecological operations.

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Clinical and imaging features of abdominal wall endometriomas

Edwards

Tsai

Kothari

2018

Australas J Ultrason Med

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Abdominal wall endometrioma (AWE) is a rare condition (incidence 1% following caesarean section) with a significant variation in clinical symptoms, imaging findings and interval between initial procedure and diagnosis. We present two cases with differing clinical presentations. AWE may be difficult to diagnose pre-operatively, with as many as 75% of lesions diagnosed incorrectly prior to surgical excision. Ultrasonography is a useful tool in determining the extent of the endometrioma and can help exclude differential diagnosis such as hernia. Ultrasound appearance of AWE is often variable; however, the most common presentation is of a solid hypoechoic mass lesion with peripheral vascularity. Margins may be irregular and infiltrate the surrounding soft tissues. Lesions may be cystic or multicystic or may have both solid and cystic components. Power Doppler may demonstrate internal vascularity. If ultrasound findings are inconclusive, computed tomography (CT) or magnetic resonance imaging (MRI) should be considered to assist in making the diagnosis. Ultrasound-guided fine needle aspiration of the lesion may assist in the diagnosis, but seeding of the needle tract has been reported and must be included in the resection margins. Sonoelastography has shown some promise in early studies for improving diagnostic accuracy for AWE.

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Rectus abdominis endometrioma

Cited by 32 publications

References 13 publications

Cesarean scar endometriosis: Presentation of eleven clinical cases and review of the literature

Cesarean scar endometriosis: Presentation of eleven clinical cases and review of the literature

Abdominal Scar Endometrioma Mimicking Incisional Hernia: A Diagnostic Pitfall

Clinical and imaging features of abdominal wall endometriomas

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