Clinical and imaging features of abdominal wall endometriomas
Open accessAbstract
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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Color Doppler can demonstrate peripheral vascularization consistent with features of endometriotic lesions described in the literature.
“Additionally, color Doppler can demonstrate peripheral vascularization consistent with features of endometriotic lesions described in the literature [17].”
From Umbilical port-site endometriosis: a case presentation and narrative review of the literature (2026) · cites this paper as [17]
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Cited by
Sorted by citations
Umbilical port-site endometriosis: a case presentation and narrative review of the literature
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“Additionally, color Doppler can demonstrate peripheral vascularization consistent with features of endometriotic lesions described in the literature [17].”
- Authors
- Edwards, K., Tsai, S., & Kothari, A.
- Affiliations
- Queensland Health (AU)
- Redcliffe Hospital (AU)
- The University of Queensland (AU)
- Corresponding author
- Edwards, Kylie
- Venue
- Australasian Journal of Ultrasound in Medicine
- Publisher
- Wiley
- Published
- 2018-01-29
- Volume
- 21
- Issue
- 1
- Pages
- 24-28
- ISSN
- 1836-6864 (ISSN-L)
- 2205-0140
- PMC
- PMC8409820
- OpenAlex
- W2792885117
- Cited by
- 7
- References
- 22
- Citations by year
- 2026: 2 · 2024: 2 · 2023: 1 · 2022: 1 · 2021: 1
- FWCI
- 0.27
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Australasian Journal of Ultrasound in Medicine (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Obstetrics and Gynecology › Gynecological conditions and treatments
- Health Sciences › Medicine › Surgery › Teratomas and Epidermoid Cysts
- Keywords
- endometriosis, cesarean section complications, ultrasonography, power Doppler, ultrasound elastography, fine-needle aspiration, surgical excision, surgical margins, computed tomography, magnetic resonance imaging
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