Cited by 34Endometriosis Research and TreatmentGynecological conditions and treatmentsEctopic Pregnancy Diagnosis and Management

Ultrasound Imaging of Abdominal Wall Endometriosis: A Pictorial Review

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Cocco, Giulio, Delli Pizzi, Andrea, Scioscia, Marco, Ricci, Vincenzo, Boccatonda, Andrea, Candeloro, Matteo, Tana, Marco, Balconi, Giuseppe +2 more·2021·Diagnostics

Abstract

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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Crossref · 10.3390/diagnostics11040609

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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 measured
  • Ultrasonography 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”

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  1. [1]Parazzini F. Esposito G. Tozzi L. Noli S. Bianchi S. Epidemiology of endometriosis and its comorbidities Eur. J. Obstet. Gynecol. Reprod. Biol. 2017 209 3 7 10.1016/j.ejogrb.2016.04.021 27216973 · DOI
  2. [3]Missmer S.A. Tu F.F. Agarwal S.K. Chapron C. Soliman A.M. Chiuve S. Eichner S. Flores-Caldera I. Horne A.W. Kimball A.B. Impact of Endometriosis on Life-Course Potential: A Narrative Review Int. J. Gen. Med. 2021 14 9 25 10.2147/IJGM.S261139 33442286 PMC7800443 · DOI
  3. [5]Simoens S. Dunselman G. Dirksen C. Hummelshoj L. Bokor A. Brandes I. Brodszky V. Canis M. Colombo G.L. De Leire T. The burden of endometriosis: Costs and quality of life of women with endometriosis and treated in referral centres Hum. Reprod. 2012 27 1292 1299 10.1093/humrep/des073 22422778 · DOI · Paper page
  4. [6]Nnoaham K.E. Hummelshoj L. Webster P. d’Hooghe T. de Cicco Nardone F. de Cicco Nardone C. Jenkinson C. Kennedy S.H. Zondervan K.T. World Endometriosis Research Foundation Global Study of Women’s Health Consortium Impact of endometriosis on quality of life and work productivity: A multicenter study across ten countries Fertil. Steril. 2011 96 366 373.e8 10.1016/j.fertnstert.2011.05.090 21718982 PMC3679489 · DOI · Paper page
  5. [7]Scioscia M. Bruni F. Ceccaroni M. Steinkasserer M. Stepniewska A. Minelli L. Distribution of endometriotic lesions in endometriosis stage IV supports the menstrual reflux theory and requires specific preoperative assessment and therapy Acta Obs. Gynecol. Scand. 2011 90 136 139 10.1111/j.1600-0412.2010.01008.x 21241258 · DOI · Paper page
  6. [8]Davis A.C. Goldberg J.M. Extrapelvic endometriosis Semin. Reprod. Med. 2017 35 98 101 27992931
  7. [9]Hirsch M. Begum M.R. Paniz É. Barker C. Davis C.J. Duffy J.M.N. Diagnosis and management of endometriosis: A systematic review of international and national guidelines BJOG 2018 125 556 564 10.1111/1471-0528.14838 28755422 · DOI
  8. [11]Betrán A.P. Ye J. Moller A.-B. Zhang J. Gülmezoglu A.M. Torloni M.R. The increasing trend in caesarean section rates: Global, regional and national estimates: 1990–2014 PLoS ONE 2016 11 e0148343 26849801 PMC4743929
  9. [13]Nominato N.S. Prates L.F.V.S. Lauar I. Morais J. Maia L. Geber S. Caesarean section greatly increases risk of scar endometriosis Eur. J. Obstet. Gynecol. Reprod. Biol. 2010 152 83 85 10.1016/j.ejogrb.2010.05.001 20510495 · DOI · Paper page
  10. [14]Haak H.E. Maas M. Lahaye M.J. Boellaard T.N. Pizzi A.D. Mihl C. Van Der Zee D. Fabris C. Van Der Sande M.E. Melenhorst J. Selection of Patients for Organ Preservation After Chemoradiotherapy: MRI Identifies Poor Responders Who Can Go Straight to Surgery Ann. Surg. Oncol. 2020 27 2732 2739 10.1245/s10434-020-08334-8 32172333 · DOI
  11. [15]Pizzi A.D. Caposiena D. Mastrodicasa D. Trebeschi S. Lambregts D. Rosa C. Cianci R. Seccia B. Sessa B. Di Flamminio F.M. Tumor detectability and conspicuity comparison of standard b1000 and ultrahigh b2000 diffusion-weighted imaging in rectal cancer Abdom. Radiol. 2019 44 3595 3605 10.1007/s00261-019-02177-y 31444557 · DOI
  12. [16]Pizzi A.D. Tavoletta A. Narciso R. Mastrodicasa D. Trebeschi S. Celentano C. Mastracchio J. Cianci R. Seccia B. Marrone L. Prenatal planning of placenta previa: Diagnostic accuracy of a novel MRI-based prediction model for placenta accreta spectrum (PAS) and clinical outcome Abdom. Radiol. 2019 44 1873 1882 10.1007/s00261-018-1882-8 30600374 · DOI
  13. [18]Raffi L. Suresh R. McCalmont T.H. Twigg A.R. Cutaneous endometriosis Int. J. Womens Derm. 2019 5 384 386 10.1016/j.ijwd.2019.06.025 PMC6938861 31909163 · DOI · Paper page
  14. [19]Ismael H. Ragoza Y. Harden A. Cox S. Spontaneous endometriosis associated with an umbilical hernia: A case report and review of the literature Int. J. Surg. Case Rep. 2017 30 1 5 10.1016/j.ijscr.2016.11.017 27898348 PMC5128822 · DOI
  15. [20]Victory R. Diamond M.P. Johns D.A. Villar’s nodule: A case report and systematic literature review of endometriosis externa of the umbilicus J. Minim. Invasive Gynecol. 2007 14 23 32 10.1016/j.jmig.2006.07.014 17218225 · DOI · Paper page
  16. [21]Mann L.S. Clarke W.R. Endometriosis of the umbilicus IMJ III Med. J. 1964 125 335 336 14138341
  17. [23]Bagade P.V. Guirguis M.M. Menstruating from the umbilicus as a rare case of primary umbilical endometriosis: A case report J. Med. Case Rep. 2009 3 9326 10.1186/1752-1947-3-9326 20062755 PMC2803849 · DOI
  18. [24]Paramythiotis D. Stavrou G. Panidis S. Panagiotou D. Chatzopoulos K. Papadopoulos V.N. Michalopoulos A. Concurrent appendiceal and umbilical endometriosis: A case report and review of the literature J. Med. Case Rep. 2014 8 258 10.1186/1752-1947-8-258 25052818 PMC4131801 · DOI
  19. [25]Draghi F. Cocco G. Richelmi F.M. Schiavone C. Abdominal wall sonography: A pictorial review J. Ultrasound 2020 23 265 278 10.1007/s40477-020-00435-0 32125676 PMC7441131 · DOI
  20. [28]Okoshi K. Mizumoto M. Kinoshita K. Endometriosis-associated hydrocele of the canal of Nuck with immunohistochemical confirmation: A case report J. Med. Case Rep. 2017 11 354 10.1186/s13256-017-1522-x 29262869 PMC5738847 · DOI
  21. [29]Block R.E. Hydrocele of the canal of Nuck. A report of five cases Obstet. Gynecol. 1975 45 464 466 1168323
  22. [30]Jimenez M. Miles R.M. Inguinal endometriosis Ann. Surg. 1960 151 903 911 10.1097/00000658-196006000-00014 14407289 PMC1613629 · DOI
  23. [31]Hufnagel D. Li F. Cosar E. Krikun G. Taylor H.S. The role of stem cells in the etiology and pathophysiology of endometriosis Semin. Reprod. Med. 2015 33 333 340 10.1055/s-0035-1564609 26375413 PMC4986990 · DOI
  24. [32]Prodromidou A. Pandraklakis A. Rodolakis A. Thomakos N. Endometriosis of the Canal of Nuck: A Systematic Review of the Literature Diagnostics 2020 11 3 10.3390/diagnostics11010003 33375037 PMC7821999 · DOI
  25. [33]Scioscia M. Pesci A. Scardapane A. Noventa M. Bonaccorsi G. Greco P. Zamboni G. Dye diffusion during laparoscopic tubal patency tests may suggest a lymphatic contribution to dissemination in endometriosis: A prospective, observational study PLoS ONE 2019 14 e0226264 10.1371/journal.pone.0226264 31821376 PMC6903734 · DOI
  26. [34]Zhao Y. Zhang J. Zamora J. Vogel J.P. Souza J.P. Jayaratne K. Ganchimeg T. Ortiz-Panozo E. Hernandez B. Oladapo O.T. Increases in caesarean delivery rates and change of perinatal outcomes in low- and middle-income countries: A hospital-level analysis of two WHO surveys Paediatr. Perinat. Epidemiol. 2017 31 251 262 10.1111/ppe.12363 28474743 · DOI
  27. [35]Burney R.O. Giudice L.C. Pathogenesis and pathophysiology of endometriosis Fertil. Steril. 2012 98 511 519 10.1016/j.fertnstert.2012.06.029 22819144 PMC3836682 · DOI · Paper page
  28. [36]Wang P.-H. Juang C.-M. Chao H.-T. Yu K.-J. Yuan C.-C. Ng H.-T. Wound endometriosis: Risk factor evaluation and treatment J. Chin. Med. Assoc. 2003 66 113 119 12716010
  29. [38]Cocco G. Ricci V. Boccatonda A. Stellin L. de Filippis G. Soresi M. Schiavone C. Sonographic demonstration of a spontaneous rectus sheath hematoma following a sneeze: A case report and review of the literature J. Ultrasound 2020 10.1007/s40477-020-00493-4 32621122 PMC8137746 · DOI
  30. [39]Cocco G. Ricci V. Cocco N. Boccatonda A. D’Ardes D. Basilico R. Schiavone C. Sonography of abdominal wall vascular malformation: A case report and review of the literature J. Ultrasound 2020 23 481 485 10.1007/s40477-020-00523-1 32886344 PMC7588565 · DOI
  31. [40]Cocco G. Boccatonda A. D’Ardes D. Galletti S. Schiavone C. Mantle cell lymphoma: From ultrasound examination to histological diagnosis J. Ultrasound 2018 21 339 342 10.1007/s40477-018-0318-1 30132201 PMC6237714 · DOI
  32. [41]Fàbregas F.F. Guimferrer M.C. Casas F.T. Caballero S.B. Xauradó R.F. Malignant transformation of abdominal wall endometriosis with lymph node metastasis: Case report and review of literature Gynecol. Oncol. Case Rep. 2014 8 10 13 10.1016/j.gynor.2013.12.003 24567887 PMC3930813 · DOI · Paper page
  33. [42]Graur F. Mois E. Elisei R. Furcea L. Dragota M. Zaharie T. Al Hajjar N. Malignant endometriosis of the abdominal wall Ann. Ital. Chir. 2017 6 S2239253X17026895 28430112
  34. [43]Ferrandina G. Palluzzi E. Fanfani F. Gentileschi S. Valentini A.L. Mattoli M.V. Pennacchia I. Scambia G. Zannoni G. Endometriosis-associated clear cell carcinoma arising in caesarean section scar: A case report and review of the literature World J. Surg. Oncol. 2016 14 300 10.1186/s12957-016-1054-7 27912770 PMC5135835 · DOI · Paper page
  35. [44]Xie M. Zhang X. Zhan J. Ren Y. Wang W. Potential role of strain elastography for detection of the extent of large-scar endometriosis J. Ultrasound Med. 2013 32 1635 1642 10.7863/ultra.32.9.1635 23980226 · DOI
  36. [45]Viganò P. Ottolina J. Bartiromo L. Bonavina G. Schimberni M. Villanacci R. Candiani M. Cellular Components Contributing to Fibrosis in Endometriosis: A Literature Review J. Minim. Invasive Gynecol. 2020 27 287 295 10.1016/j.jmig.2019.11.011 31785417 · DOI
  37. [46]Guerriero S. Saba L. Pascual M.A. Ajossa S. Rodriguez I. Mais V. Alcazar J.L. Transvaginal ultrasound vs magnetic resonance imaging for diagnosing deep infiltrating endometriosis: Systematic review and meta-analysis Ultrasound Obstet. Gynecol. 2018 51 586 595 10.1002/uog.18961 29154402 · DOI
  38. [47]Scioscia M. Orlandi S. Trivella G. Portuese A. Bettocchi S. Pontrelli G. Bocus P. Anna Virgilio B. Sonographic Differential Diagnosis in Deep Infiltrating Endometriosis: The Bowel BioMed Res. Int. 2019 2019 5958402 10.1155/2019/5958402 31781626 PMC6855068 · DOI
  39. [49]Lopez-Soto A. Sanchez-Zapata M.I. Martinez-Cendan J.P. Ortiz Reina S. Bernal Mañas C.M. Remezal Solano M. Cutaneous endometriosis: Presentation of 33 cases and literature review Eur. J. Obs. Gynecol. Reprod. Biol. 2018 221 58 63 10.1016/j.ejogrb.2017.11.024 29310043 · DOI · Paper page
  40. [51]Xiao-Ying Z. Hua D. Jin-Juan W. Ying-Shu G. Jiu-Mei C. Hong Y. Chun-Yi Z. Clinical analysis of high-intensity focussed ultrasound ablation for abdominal wall endometriosis: A 4-year experience at a specialty gynecological institution Int. J. Hyperth. 2019 36 87 94 10.1080/02656736.2018.1534276 30428731 · DOI
  41. [52]Zhao L. Deng Y. Wei Q. Chen J. Zhao C. Comparison of ultrasound-guided high-intensity focused ultrasound ablation and surgery for abdominal wall endometriosis Int. J. Hyperth. 2018 35 528 533 10.1080/02656736.2018.1511836 30208746 · DOI
  42. [53]Lee J.-S. Kim Y.-J. Hong G.-Y. Nam S.-K. Kim T.-E. Abdominal wall endometriosis treatment by ultrasound-guided high-intensity focused ultrasound ablation: A case report Gynecol. Endocrinol. 2019 35 109 111 10.1080/09513590.2018.1490713 30182777 · DOI
  43. [54]Welch B.T. Ehman E.C. Van Buren W.M. Cope A.G. Welch T.L. A Woodrum D. Kurup A.N. Burnett T.L. Percutaneous cryoablation of abdominal wall endometriosis: The Mayo Clinic approach Abdom. Radiol. 2020 45 1813 1817 10.1007/s00261-019-02379-4 31894380 · DOI
  44. [55]Dibble E.H. D’Amico K.C. Bandera C.A. Littrup P.J. Cryoablation of Abdominal Wall Endometriosis: A Minimally Invasive Treatment AJR Am. J. Roentgenol. 2017 209 690 696 10.2214/AJR.16.17269 28609130 · DOI
  45. [56]Maillot J. Brun J.L. Dubuisson V. Bazot M. Grenier N. Cornelis F.H. Mid-term outcomes after percutaneous cryoablation of symptomatic abdominal wall endometriosis: Comparison with surgery alone in a single institution Eur. Radiol. 2017 27 4298 4306 10.1007/s00330-017-4827-7 28396995 · DOI

Cited by

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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
Venue
Diagnostics
Publisher
MDPI AG
Published
2021-03-29
Volume
11
Issue
4
Pages
609
ISSN
2075-4418 (ISSN-L)
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
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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