Ultrasound Characterization of Abdominal Wall Endometriosis
Keywords:cesarean section, abdominal wall, endometriosis, ultrasound, elastography.
Background:Aim: Our aim in this study is to define the ultrasound finding in the patients have abdominal
wall mass proven by postoperative histopathology as abdominal wall endometriosis.
Patients & Methods: A cross sectional study was done from first of August 2016- first of September 2019 in
Baghdad governorate. The study included 32 patients. Diagnosis done by superficial ultrasound examination.
Results: 32 female have done at least 1 Cesarean section the commenst presenting symptom was pain in 90%
of patients , all the lesions were hypoechoic in texture , with heterogeneity and small foci of echogenisity in
75% of our population , the consistency of the lesions was purely sold in 93.8% of lesions ,on color Doppler
only 18.7% was avascular , the resistive index of the arterial flow was below 0.70 in 31 % of patients ,on
elastography 78.5% of lesions was hard , the accuracy of assessment of muscle infiltration was 71% ,the
ultrasound was the only imaging required preoperatively in 85% of our patients , the ultrasound was able to
discriminate between endometrioma and collection or hernias in all patients and was the in the differential
diagnosis list in about 90% of our population
Conclusion: the ultrasound characteristics of abdominal wall endometriosis if combined with clinical
features and symptoms of the patients is excellent preoperative imaging modality to reach the diagnosis and
exclude other lesions and accurately assessing muscle invasion in most of cases for proper surgical planning
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