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. KomlichenkoRussian 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
Russian Federation
Ia G. Tsnobiladze – MD, Obstetrician-Gynecologist
2 Akkuratova Str., Saint Petersburg 197341
V. I. Tsibizova
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
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
Russian Federation
Anton V. Malushko – MD, Obstetrician-Gynecologist
2 Akkuratova Str., Saint Petersburg 197341
A. G. Solopova
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
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
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

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.