Ultrasound and MR-imaging in preoperative evaluation of two rare cases of scar endometriosis
Open accessAbstract
Scar or incisional endometriosis is a rare, often misdiagnosed, pathologic condition of the abdominal wall. Two cases of incisional endometriosis are presented. Both patients presented with atypical cyclic pain and palpable nodules on scars of previous cesarean sections. In both cases, the mass was totally excised, after accurate preoperative evaluation with 2-D ultrasound, power Doppler and MRI. Microscopic examination confirmed the preoperatively presumed diagnosis of cutaneous endometriosis. In cases of suspected scar endometriosis, preoperative diagnostic imaging is valuable in determining the extent of disease, thus enhancing accurate and total excision.
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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 [15]
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 [15]
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Cites
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Abdominal Wall Endometriosis: Clinical Presentation and Imaging Features with Emphasis on Sonography
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Current concepts of the pathogenesis of endometriosis
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Extrapelvic endometriosis: Diagnosis and treatment
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Self-citationEndometriotic Uterocutaneous Fistula after Cesarean Section
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Gidwaney, R., Badler, R. L., Yam, B. L., Hines, J. J., Alexeeva, V., Donovan, V., & Katz, D. S. (2012) · RadioGraphics · doi:10.1148/rg.327125024 · Cited by 120 · see citing works
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Appearance of abdominal wall endometriosis on MR imaging
Busard, M. P. H., Mijatovic, V., van Kuijk, C., Hompes, P. G. A., & van Waesberghe, J. H. T. M. (2010) · European Radiology · doi:10.1007/s00330-009-1658-1 · Cited by 79 · see citing works
“Hormonal treatment may help to reduce symptoms, but recurrence is common after discontinuation of treatment [15].”
BackgroundIntramuscular Abdominal Wall Endometriosis Treated by Ultrasound-Guided Ethanol Injection
Bozkurt, M., Cil, A. S., & Bozkurt, D. K. (2014) · Clinical Medicine & Research · doi:10.3121/cmr.2013.1183 · Cited by 47 · see citing works
Scar endometriosis – A series of six patients
Goel, P., Devi, L., Tandon, R., Saha, P. K., & Dalal, A. (2011) · International Journal of Surgery · doi:10.1016/j.ijsu.2010.08.003 · Cited by 21 · see citing works
Surgical scar endometriosis: a series of 14 patients and brief review of literature
Malutan, A. M., Simon, I., Ciortea, R., Mocan-Hognogi, R. F., Dudea, M., & Mihu, D. (2017) · Medicine and Pharmacy Reports · doi:10.15386/cjmed-743 · Cited by 13 · see citing works
Abdominal wall endometriosis: a case report
Stefanou, S. K., Tepelenis, K., Stefanou, C. K., Gogos-Pappas, G., Tsalikidis, C., & Vlachos, K. (2021) · Journal of Surgical Case Reports · doi:10.1093/jscr/rjab055 · Cited by 6 · see citing works
- Authors
- Pados, G., Tympanidis, J., Zafrakas, M., Athanatos, D., & Bontis, J. N.
- Affiliations
- Aristotle University of Thessaloniki (GR)
- ORCID
- Pados, George
- Venue
- Cases Journal
- Published
- 2008-08-18
- Volume
- 1
- Issue
- 1
- Pages
- 97-97
- ISSN
- 1757-1626 (ISSN-L)
- PMC
- PMC2533002
- OpenAlex
- W2159658906
- Cited by
- 32
- References
- 9
- Citations by year
- 2025: 2 · 2024: 1 · 2023: 2 · 2022: 2 · 2021: 2 · 2020: 2 · 2019: 3 · 2018: 3 · 2017: 5 · 2014: 3 · 2012: 1
- FWCI
- 2.32
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by
- Locations
- Cases Journal (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- 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
- scar endometriosis, abdominal wall endometriosis, preoperative imaging, power Doppler, magnetic resonance imaging, cesarean section scar, cyclic abdominal pain, palpable nodules, surgical excision, cutaneous endometriosis
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