The Role of Multimodality Imaging After Cesarean Delivery

Rezvani, Maryam; Shaaban, Akram M.; Kennedy, Anne

doi:10.1097/ruq.0000000000000075

Cited by 11 publications

(5 citation statements)

References 25 publications

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“…The fibrous component will show low intensity on t2 weighted images. 18 CT scan of the lesion will show soft tissue lesion involving rectus sheath. 19 The appearances in CT and MRI would depend on the phase of menstrual cycle, the proportion of stromal and glandular elements, amount of bleeding and surrounding inflammatory response.…”

Section: Discussionmentioning

confidence: 99%

Abdominal wall endometriosis in the caesarean section surgical scar- a case report

Trivikrama¹,

Shivakumar²,

Sajitha³

et al. 2022

Int J Reprod Contracept Obstet Gynecol

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Scar endometriosis is the presence of endometrial tissues with glands in the previous incision or scar. Its overall estimated incidence after post-caesarean and post-hysterectomy is 0.03-0.4% and 1.08-2%, respectively. The patient presents with non-specific symptoms such as cyclical abdominal pain at the site of a previous surgical incision and an abdominal lump with a cyclical increment in size, which is tender. The diagnosis is made only after the surgical excision with confirmation by histopathological analysis. We present the case of a 30-year-old P2 L2 complaining of cyclical abdominal pain and a lump on the right side of a Pfannenstiel incision. She had undergone two lower segment caesarean sections (LSCS); the last surgery was five years ago. She conceived and at 38.2 weeks an elective caesarean with concurrent sterilisation and excision of scar endometriosis with mesh repair was done. After the surgical excision, the sample was sent for histopathological examination, and scar endometriosis was confirmed.

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Section: Discussionmentioning

confidence: 99%

Abdominal wall endometriosis in the caesarean section surgical scar- a case report

Trivikrama¹,

Shivakumar²,

Sajitha³

et al. 2022

Int J Reprod Contracept Obstet Gynecol

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show abstract

“…2 MRI is a non-invasive modality which allows good tissue characterisation and offers the advantage of multiplanar evaluation of the lesions. 3,16 It provides an accurate assessment of the extent including depth of involvement (i.e. whether limited to the subcutaneous plane, intramuscular plane, peritoneal involvement etc.)…”

Section: Discussionmentioning

confidence: 99%

“…Isolated T2 hyperintense foci, as observed in case 2 may also be seen, which represent ectopic glandular elements. 16,17 Diffusion characteristics may vary depending on the predominant tissue within the lesion. On post-contrast images, the lesions invariably demonstrate intense enhancement (evident in all four cases) with an occasional feeding vessel sign, which has been attributed to the associated extensive inflammation.…”

Section: Discussionmentioning

confidence: 99%

Scar endometriosis: Looking beyond the diagnosis - A case series

Chandola

Garg

2022

South African Journal of Radiology

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Scar endometriosis usually affects the abdominal wall or the perineum. Virtually all cases are linked with some form of surgical manipulation. Although the clinical diagnosis of scar endometriosis may be straightforward with classical symptomology, imaging with ultrasound and MRI are important for the determination of its extent, which is imperative for adequate preoperative planning. In addition, assessment of perineal scar endometriosis also requires the identification of anal sphincter complex involvement, which can significantly impact the surgical approach. Radiology plays a vital role in its diagnosis in atypical clinical scenarios.Contribution: This series of four cases describes the morphology and highlights the importance of imaging in the surgical management of scar endometriosis; three with abdominal wall involvement and one with the involvement of perineum.

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“…In addition to the anamnesis and clinical examination, the ultrasound should be the first-line imagistic method for diagnosis. High-frequency linear transducers are best for such assessment [13].…”

Section: Discussionmentioning

confidence: 99%

Abdominal Wall Endometriosis: Two Case Reports and Literature Review

Doroftei

Armeanu²,

Maftei

et al. 2020

Medicina

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Background and objectives: Abdominal wall endometriosis, also known as scar endometriosis, is a rare condition that is becoming increasingly common. The recent rise in incidence is attributed primarily to the surge of cesarean births, figures that could be influenced in a positive manner considering the improvements brought towards the ultrasound diagnostic methods that have been made in recent years. Materials and Methods: Here we report the cases of two Caucasian women of 38- (G2P2) and 36-years old (G1P1), both subjected to an ultrasound examination due to a specific symptomatic panel reported during anamnesis. Independently of the current status, in the first patient, there were no reported symptom-specific associations with endometriosis, but she had a known history of mild hereditary thrombophilia; the second woman suffered from two conditions positively associated with endometriosis. Results: In both cases, abnormal structures were revealed, with the diagnostic(s) of endometriosis being histologically confirmed based on a set of features observed during the investigation. Conclusions: This paper aims to highlight the importance of reducing cesarean births and to consider the diagnosis of scar endometriosis in women with a history of obstetric or gynaecological surgeries who present with cyclic, recurrent abdominal pain.

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The Role of Multimodality Imaging After Cesarean Delivery

Cited by 11 publications

References 25 publications

Abdominal wall endometriosis in the caesarean section surgical scar- a case report

Abdominal wall endometriosis in the caesarean section surgical scar- a case report

Scar endometriosis: Looking beyond the diagnosis - A case series

Abdominal Wall Endometriosis: Two Case Reports and Literature Review

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