Ultrasound Imaging of Abdominal Wall Endometriosis: A Pictorial Review
Open accessAbstract
Endometriosis is a debilitating disease characterized by endometrial glands and stroma outside the endometrial cavity. Abdominal wall endometriosis (AWE) indicates the presence of ectopic endometrium between the peritoneum and the skin, including subcutaneous adipose tissue and muscle layers, often following obstetric and gynecological surgical procedures. AWE is a not infrequent gynecological surgical complication, due to the increasing number of cesarean sections worldwide. In this pictorial review, we discuss the importance of medical history and physical examination, including the main ultrasound features in the diagnosis of AWE.
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Needle-biopsy is essential to establish the diagnosis of AWE.
“whereas needle-biopsy is essential to establish the diagnosis of AWE [12–14].”
From Trocar scar abdominal wall adenomyoma following laparoscopic hysterectomy: case report (2024) · cites this paper as [13]
The Discussion states that only histological examination can definitively confirm an endometriosis diagnosis. It does not say that needle biopsy specifically is essential; histological examination could follow surgical excision. (LLM, conf=0.88)
Experimental — accuracy not yet measuredUltrasonography and MRI help to understand the intrinsic characteristics of the mass and its relationships with abdominal wall anatomy.
“Ultrasonography and MRI help to understand the intrinsic characteristics of the mass as well as its relationships with abdominal wall anatomy”
From Trocar scar abdominal wall adenomyoma following laparoscopic hysterectomy: case report (2024) · cites this paper as [13]
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Cites
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“Several studies have found that the time interval between surgery and clinical presentation is 3 months to 10 years [13,26,27].”
BackgroundAbdominal wall endometriosis (a narrative review)
Carsote, M., Terzea, D. C., Valea, A., & Gheorghisan-Galateanu, A.-A. (2020) · International Journal of Medical Sciences · doi:10.7150/ijms.38679 · Cited by 111 · cited 3× · see citing works
“A wide incision for endometriotic nodules is recommended due to the risk of recurrence in 5–9% of cases [48,49].”
BackgroundRindos, N. B., & Mansuria, S. (2017) · Obstetrical & Gynecological Survey · doi:10.1097/ogx.0000000000000399 · Cited by 82 · see citing works
Endometriosis of the abdominal wall: ultrasonographic and Doppler characteristics
Savelli, L., Manuzzi, L., Di Donato, N., Salfi, N., Trivella, G., Ceccaroni, M., & Seracchioli, R. (2012) · Ultrasound in Obstetrics & Gynecology · doi:10.1002/uog.10052 · Cited by 80 · see citing works
Intramuscular 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 · cited 1× · see citing works
“Sclerotherapy with ultrasound guided ethanol injection into the scar endometriosis has been reported to be effective in some cases [50].”
BackgroundThe obstetrical history in patients with Pfannenstiel scar endometriomas--an analysis of 81 patients
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Skin Endometriosis at the Caesarean Section Scar: A Case Report and Review of the Literature
Alnafisah, F., Dawa, S. K., & Alalfy, S. (2018) · Cureus · doi:10.7759/cureus.2063 · Cited by 37 · see citing works
Cocco, G., Ricci, V., Boccatonda, A., & Schiavone, C. (2020) · Journal of Ultrasound · doi:10.1007/s40477-019-00425-x · Cited by 11 · see citing works
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Cited by
Sorted by citations
Trocar scar abdominal wall adenomyoma following laparoscopic hysterectomy: case report
Prospero, R., Carafa, A., Sagrada, P. F., Ahmed, N., Scagnelli, P., Ballabio, M. M., Garuti, G., & Soligo, M. (2024) · Journal of Surgical Case Reports · doi:10.1093/jscr/rjae650
- Authors
- Cocco, G., Delli Pizzi, A., Scioscia, M., Ricci, V., Boccatonda, A., Candeloro, M., Tana, M., Balconi, G., Romano, M., & Schiavone, C.
- Affiliations
- University of Chieti-Pescara (IT)
- Department of Neurosciences, Imaging and Clinical Sciences, “G. d’Annunzio” University, 66100 Chieti, Italy
- Unit of Gynecology Surgery, Mater Dei Hospital, 70125 Bari, Italy
- Luigi Sacco Hospital (IT)
- IRCCS Ospedale San Raffaele (IT)
- Ospedale Garibaldi (IT)
- Corresponding author
- Cocco, Giulio
- ORCID
- Venue
- Diagnostics
- Publisher
- MDPI AG
- Published
- 2021-03-29
- Volume
- 11
- Issue
- 4
- Pages
- 609
- ISSN
- 2075-4418 (ISSN-L)
- PMC
- PMC8065386
- OpenAlex
- W3148120555
- Cited by
- 34
- References
- 10
- Citations by year
- 2026: 5 · 2025: 9 · 2024: 7 · 2023: 7 · 2022: 6
- FWCI
- 0.82
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Diagnostics (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- 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
- abdominal wall endometriosis, ultrasonography, ectopic endometrium, cesarean section complications
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