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MR Imaging of Endometriosis Arising in Cesarean Section Scar
Abstract
Endometriosis of the abdominal wall is rare and usually arises in a surgical incision. Magnetic resonance (MR) has been used to evaluate endometriosis of the ovaries. A case of endometriosis in a cesarean section scar is presented and evaluated with CT and MR.
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“At this moment, to our knowledge, several case reports and a few cohorts, up to eight patients using MR imaging in AWE, have been described in the literature [1, 7, 14–17].”
From Appearance of abdominal wall endometriosis on MR imaging (2010) · cites this paper as [16]
In the citing paper
“In these studies, endometriosis appeared homogeneously hypointense or isointense, or heterogeneous with focal areas of high and low signal intensity, suggesting old haemorrhage or fibrosis on T2-weighted and T1-weighted fat-suppressed imaging.”
From Appearance of abdominal wall endometriosis on MR imaging (2010) · cites this paper as [16]
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Abdominal Wall Endometriosis: Clinical Presentation and Imaging Features with Emphasis on Sonography
Hensen, J.-H. J., Van Breda Vriesman, A. C., & Puylaert, J. B. C. M. (2006) · American Journal of Roentgenology · doi:10.2214/ajr.04.1619 · Cited by 254
“The CT and MR characteristics of abdominal wall endometriosis are nonspecific also, both showing a solid enhancing mass in the abdominal wall [12, 13].”
BackgroundExtrapelvic endometriosis: a rare entity or an under diagnosed condition?
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“CT and MRI also show a solid mass in the abdominal wall, so they cannot be specific diagnostic methods of an endometrioma, but they can depict the extent of the disease preoperatively [66,67] (Figures 8, 9, 10).”
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“MRI has also been used to diagnose endometriomas (20, 21).”
MethodAppearance of abdominal wall endometriosis on MR imaging
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“AWE, have been described in the literature [1, 7, 14–17].”
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“The tomographic appearance of endometriosis in the pelvis and other sides has been described [38-41], but these are variable and nonspecific.”
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Scar endometriosis at the site of cesarean section
Ding, D.-C., & Hsu, S. (2006) · Taiwanese Journal of Obstetrics and Gynecology · doi:10.1016/s1028-4559(09)60234-5 · Cited by 37
Cesarean-Section Scar Endometrioma: A Case Report and Review of the Literature
Kocher, M., Hardie, A. D., Schaefer, A. R., McLaren, T., & Kovacs, M. D. (2017) · Journal of Radiology Case Reports · doi:10.3941/jrcr.v11i12.3178 · Cited by 33
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Clinical manifestations of abdominal wall endometriosis: a single center experience
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Posniak, H. V., Keshavarzian, A., & Jabamoni, R. (1990) · Gastrointestinal Radiology · doi:10.1007/bf01888817 · Cited by 24
Magnetic resonance imaging findings of extrapelvic endometriosis of the round ligament
Tokue, H., Tsushima, Y., & Endo, K. (2009) · Japanese Journal of Radiology · doi:10.1007/s11604-008-0293-0 · Cited by 20
“MRI characteristics of extrapelvic endometriosis are nonspecifi c, and the major role of MRI may be to depict the extent of the disease preoperatively.(7) Endometriosis outside the pelvis may present with unusual symptoms that often lead to a misdiagnosis.”
BackgroundCase report: Peri-anal episiotomy scar endometrioma imaged by CT and sector endoluminal ultrasound
Yackovich, F. H., BENDER, G. N., & TSUCHIDA, A. M. (1994) · Clinical Radiology · doi:10.1016/s0009-9260(05)82943-5 · Cited by 17
Three-dimensional sonographic diagnosis of abdominal wall endometriosis: a useful tool?
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Endomnetriomna of the Anterior Abdominal Wall Not Related to a Previous Scar
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Okuno, A., & 越川, 尚. (2008) · Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) · doi:10.3919/jjsa.69.1232 · Cited by 1
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Cesarean Section Scar Endometriosis: A Case Report and Review of Literature
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Abdominal Wall Endometriosis: Clinical Presentation And Imaging Features with Emphasis on Sonography
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Clear Cell Carcinoma Arising in a Previous Surgical Scar—A Case Report—
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Anterior abdominal wall endometrioma: a diagnostic dilemma
Yelurkar, N. I., Satia, M., Deekshit, A. R., & Badhwar, V. R. (2019) · International Journal of Reproduction Contraception Obstetrics and Gynecology · doi:10.18203/2320-1770.ijrcog20195365
“The MRI images show solid enhancing mass in the abdominal wall.(14-16) In our patient final diagnosis was made by sonography guided FNAC in which multiple hemosiderin laden macrophages were noted histology is the hallmark of diagnosis.”
BackgroundPelvic Pain: Role of Imaging in the Diagnosis and Management
Shetty, M. K., & Paspulati, R. M. (2021) · Springer eBooks · doi:10.1007/978-3-030-69476-0_8
Radiological evaluation of soft-tissue swellings
Chaurasia, R., Abubakar, M., & Gupta, V. K. (2023) · Asian Journal of Medical Sciences · doi:10.3126/ajms.v14i11.55091
“Wolf and Kopecky 22 concluded that endometriosis of the abdominal wall is rare and usually arises in a surgical incision.”
BackgroundKido, A. (2025) · Springer eBooks · doi:10.1007/978-981-97-5120-4_13
Metadata
- Authors
- Wolf, G. C., & Kopecky, K. K.
- Affiliations
- Louisiana State University (US)
- Indiana University Hospital (US)
- Corresponding author
- Wolf, Gordon C.
- Kopecky, Kenyon K.
- Venue
- Journal of Computer Assisted Tomography
- Published
- 1989-01
- Volume
- 13
- Issue
- 1
- Pages
- 150-152
- ISSN
- 0363-8715 (ISSN-L)
- OpenAlex
- W2038617350
- Cited by
- 39
- References
- 0
- Citations by year
- 2025: 1 · 2023: 2 · 2021: 2 · 2019: 1 · 2017: 2 · 2016: 1 · 2013: 1 · 2012: 4
- FWCI
- 0.89
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Computer Assisted Tomography (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 scar, abdominal wall endometriosis, surgical incision, magnetic resonance imaging, computed tomography, endometrioma
- MeSH terms
- Abdominal Muscles, Adult, Cesarean Section, Cicatrix, Endometriosis, Female, Humans, Magnetic Resonance Imaging, Reoperation
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