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Cited by 105Endometriosis Research and TreatmentGynecological conditions and treatmentsEctopic Pregnancy Diagnosis and Management

Abdominal Wall and Surgical Scar Endometriosis: Results of Magnetic Resonance Imaging

Balleyguier, C., Chapron, C., Chopin, N., Hélénon, O., Menu, Y.·2003·Gynecologic and Obstetric Investigation
DOI 10.1159/000072078
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Abstract

Scar endometriosis is a rare disease which is difficult to diagnose. The symptoms are nonspecific, typically involving abdominal wall pain at the time of menstruation. Clinical examination may reveal a painful nodule, if the scar involved is located on the abdominal wall, but is normal, when the lesion is located on the uterine scar. Other means of investigation (transvaginal ultrasonography, computed tomography) may be useful in case of lesions on the abdominal wall, or if the nodule is large, but give no specific results. The diagnosis is frequently made only after excision of the lesion. We report here 4 patients operated for scar endometriosis (two abdominal and two uterine scars) for whom MRI had suggested the diagnosis. Thanks to its very high spatial resolution, MRI enables very small lesions to be detected and can distinguish the hemorrhagic signal of endometriotic lesions. Furthermore, it performs better than the CT scan in detecting the limits between muscles and abdominal subcutaneous tissues.

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Crossref · 10.1159/000072078

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  • Abdominal wall endometriosis (AWE) is a common site of extra-pelvic endometriosis usually developing in a surgical abdominal scar, with an incidence of 0.1%.

    “Abdominal wall endometriosis (AWE) is a common site of extra-pelvic endometriosis usually developing in a surgical abdominal scar with an incidence of 0.1% [1].”

    From Appearance of abdominal wall endometriosis on MR imaging (2010) · cites this paper as [1]

  • 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.

    “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 [1]

  • Several case reports and a few cohorts, up to eight patients, using MR imaging in AWE have been described.

    “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 [1]

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Authors
Balleyguier, C., Chapron, C., Chopin, N., Hélénon, O., & Menu, Y.
Affiliations
  • Hôpital Necker-Enfants Malades (FR)
  • Hôpital Cochin (FR)
ORCID
Venue
Gynecologic and Obstetric Investigation
Publisher
S. Karger AG
Published
2003
Volume
55
Issue
4
Pages
220-224
ISSN
  • 0378-7346 (ISSN-L)
  • 1423-002X
DOI
10.1159/000072078
OpenAlex
W2030918923
Cited by
105
References
16
Citations by year
2026: 1 · 2025: 3 · 2024: 3 · 2023: 4 · 2022: 4 · 2021: 8 · 2020: 4 · 2019: 3 · 2018: 3 · 2017: 7 · 2016: 3 · 2015: 3 · 2014: 7 · 2013: 6 · 2012: 8
FWCI
3.12
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Gynecologic and Obstetric Investigation (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 › Public Health, Environmental and Occupational Health › Ectopic Pregnancy Diagnosis and Management
Keywords
scar endometriosis, abdominal wall endometriosis, MRI diagnosis, surgical excision, abdominal wall pain
MeSH terms
Adult, Cicatrix, Diagnosis, Differential, Endometriosis, Female, Humans, Magnetic Resonance Imaging, Abdominal Wall

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