Preview

Obstetrics, Gynecology and Reproduction

Advanced search

Endometriosis of the anterior abdominal wall: ultrasound imaging data

https://doi.org/10.17749/2313-7347/ob.gyn.rep.2021.224

Abstract

Endometriosis of the anterior abdominal wall is a rare disease comprising 0.3–3.5 %. In turn, its diagnosis is quite challenging due to the nonspecific picture, including pain in the anterior abdominal wall during menstruation. Upon clinical examination, a thickened area may be observed in the anterior abdominal wall, usually in the area of tissue involved in surgery. Ultrasound examination is a simple, economical, and reliable method of choice to diagnose extragenital endometriosis. Here we describe a case report of the patient after surgery of anterior abdominal endometriosis localized in the rectus abdominis muscle in the umbilical region and confirmed by ultrasound test and morphological examination of excised macroscopic sample.

About the Authors

E. V. Komlichenko
Almazov National Medical Research Centre, Health Ministry of Russian Federation
Russian Federation

Eduard V. Komlichenko – MD, Dr Sci Med, Deputy Director of the Institute of Perinatology and Pediatrics

Researcher ID: N-5315-2015

2 Akkuratova Str., Saint Petersburg 197341



Ia G. Tsnobiladze
Almazov National Medical Research Centre, Health Ministry of Russian Federation
Russian Federation

Ia G. Tsnobiladze – MD, Obstetrician-Gynecologist

2 Akkuratova Str., Saint Petersburg 197341



V. I. Tsibizova
Almazov National Medical Research Centre, Health Ministry of Russian Federation
Russian Federation

Valentina I. Tsibizova – MD, Obstetrician-Gynecologist, Research Laboratory of Operative Gynecology, Institute of Perinatology and Pediatrics; Physician, Department of Functional and Ultrasound Diagnostics

2 Akkuratova Str., Saint Petersburg 197341



I. E. Govorov
Almazov National Medical Research Centre, Health Ministry of Russian Federation
Russian Federation

Igor E. Govorov – MD, PhD, Doctor of Philosophy in Medicine, Obstetrician-Gynecologist, Research Laboratory of Operative Gynecology, Institute of Perinatology and Pediatrics

Researcher ID: P-1257-2015

2 Akkuratova Str., Saint Petersburg 197341



A. V. Malushko
Almazov National Medical Research Centre, Health Ministry of Russian Federation
Russian Federation

Anton V. Malushko – MD, Obstetrician-Gynecologist

2 Akkuratova Str., Saint Petersburg 197341



A. G. Solopova
Sechenov University
Russian Federation

Antonina G. Solopova – MD, Dr Sci Med, Professor, Department of Obstetrics and Gynecology, Filatov Clinical Institute of Children's Health

Scopus Author ID: 6505479504. Researcher ID: Q-1385-2015.

2 bldg. 4, Bolshaya Pirogovskaya Str., Moscow 119991



V. O. Bitsadze
Sechenov University
Russian Federation

Viktoria O. Bitsadze – MD, Dr Sci Med, Professor of RAS, Professor, Department of Obstetrics and Gynecology, Filatov Clinical Institute of Children’s Health

Scopus Author ID: 6506003478. Researcher ID: F-8409-2017. 

2 bldg. 4, Bolshaya Pirogovskaya Str., Moscow 119991



I. V. Khamani
Sechenov University
Russian Federation

Inessa V. Khamani – MD, PhD, Associate Professor, Department of Obstetrics and Gynecology, Filatov Clinical Institute of Children’s Health

2 bldg. 4, Bolshaya Pirogovskaya Str., Moscow 119991



References

1. Audebert A. Endometriosis. In: Reference Module in Biomedical Sciences.Elsevier, 2018. 498–505. https://doi.org/10.1016/B978-0-12-801238-3.95837-9.

2. Andres M.P., Arcoverde F.V., Souza C.C. et al. Extrapelvic endometriosis: a systematic review. J Minim Invasive Gynecol. 2020;27(2):373–89. https://doi.org/10.1016/j.jmig.2019.10.004.

3. Balleyguier C., Chapron C., Chopin N. et al. Abdominal wall and surgical scar endometriosis: results of magnetic resonance imaging. Gynecol Obstet Invest. 2003;55(4):220–4. https://doi.org/10.1159/000072078.

4. Hensen J.-H.J., Van Breda Vriesman A.C., Puylaert J.B. Abdominal wallendometriosis: clinical presentation and imaging features with emphasis on sonography. AJR Am J Roentgenol. 2006;186(3):616–20. https://doi.org/10.2214/AJR.04.1619.

5. Wolf Y., Haddad R., Werbin N. et al. Endometriosis in abdominal scars: a diagnostic pitfall. Am Surg. 1996;62(12):1042–4.

6. Ishenko A., Kudrina E. Endometriosis: diagnosis and treatment. [Endometrioz: diagnostika i lechenie]. Moscow: GEOTAR-MED, 2002.104 p. (In Russ.).

7. Marras S., Pluchino N., Petignat P. et al. Abdominal wall endometriosis:аn 11-year retrospective observational cohort study. Eur J Obstet Gynecol eprod Biol X. 2019;4:100096. https://doi.org/10.1016/j.eurox.2019.100096.

8. Esquivel-Estrada V., Briones-Garduño J.C., Mondragón-Ballesteros R. Endometriosis implant in cesarean section surgical scar. Cir Cir. 2004;72(2):113–5. [Article in Spanish].

9. Vercellini P., Viganò P., Somigliana E., Fedele L. et al. Endometriosis: pathogenesis and treatment. Nat Rev Endocrinol. 2014;10(5):261–75. https://doi.org/10.1038/nrendo.2013.255.

10. Healy D., Rogers P., Hii L., Wingfield M. Angiogenesis: а new theory for endometriosis. Hum Reprod Update. 1998;4(5):736–40. https://doi.org/10.1093/humupd/4.5.736.

11. Dyson M.T., Bulun S.E. Cutting SRC-1 down to size in endometriosis. Nat Med. 2012;18(7):1016–8. https://doi.org/10.1038/nm.2855.

12. Goker A., Sarsmaz K., Pekindil G. et al. Rectus abdominis muscle endometriosis. J Coll Physicians Sur Pak. 2014;24(12):944–6.

13. Horton J.D., Dezee K.J., Ahnfeldt E.P., Wagner M. Abdominal wall endometriosis: a surgeon's perspective and review of 445 cases. Am J Surg. 2008;196(2):207–12. https://doi.org/10.1016/j.amjsurg.2007.07.035.

14. Jaramillo-Cardoso A., Balcacer P., Garces-Descovich A. et al.Multimodality imaging and clinicopathologic assessmentof abdominal wall endometriosis: knocking down the enigma. Abdom Radiol (NY). 2020;45(6):1800–12. https://doi.org/10.1007/s00261-018-1666-1.

15. Oh E.M., Lee W.-S., Kang J.M. et al. A surgeon’s perspective of abdominal wall endometriosis at a caesarean section incision: nine cases in a single institution. Surg Res Prac. 2014;2014:765372. https://doi.org/10.1155/2014/765372.

16. Ding Y., Zhu J. A retrospective review of abdominal wall endometriosis in Shanghai, China. Int J Gynaecol Obstet. 2013;121(1):41–4. https://doi.org/10.1016/j.ijgo.2012.11.011.

17. Zhang J., Ding D., Liu X. Clinicopathological features of endometriosis in abdominal wall – clinical analysis of 151 cases. Clin Exp Obstet Gynecol. 2016;43(3):379–83.


Review

For citations:


Komlichenko E.V., Tsnobiladze I.G., Tsibizova V.I., Govorov I.E., Malushko A.V., Solopova A.G., Bitsadze V.O., Khamani I.V. Endometriosis of the anterior abdominal wall: ultrasound imaging data. Obstetrics, Gynecology and Reproduction. 2021;15(2):201-207. (In Russ.) https://doi.org/10.17749/2313-7347/ob.gyn.rep.2021.224

Views: 1471


ISSN 2313-7347 (Print)
ISSN 2500-3194 (Online)