{"paper_id":"f2853a7b-f6db-4ada-870a-55f39970ce72","body_text":"ECR 2013 / C-0798\nRectus abdominis endometriosis; clinical presentation and imaging features; a retrospective stuady of ten cases.\nCongress:\nECR 2013\nPoster Number:\nC-0798\nType:\nEducational Exhibit\nKeywords:\nNeoplasia, Biopsy, Ultrasound-Colour Doppler, MR, CT, Pelvis, Genital / Reproductive system female, Abdomen\nAuthors:\nJ. Saad1, Y. M. Abdou2, F. Marrakchi3; 1Monastir, TN/TN, 2Nejran/SA, 3Monastir/TN\nDOI:\n10.1594/ecr2013/C-0798\nLearning objectives\nAfter completing this presentation,\nparticipants will be able to\n1- Describe the typical and unusual clinical manifestations that can be seen with rectus muscle abdominis endometriosis.\n2- Outline the proposed mechanisms of pathogenesis of rectus muscle endometriosis.\n3- Describe the different roles of US,\ncolor Doppler study,\nCT scan and MR imaging in the investigation of rectus muscle abdominis endometriosis.\nBackground\nEndometriosis,\na disorder affecting as many as 5-10% of women of childbearing age,\nis defined as the presence of functional endometrial glands and stroma outside the uterine cavity (1).\nThe extra pelvic implantation of endometrial tissue has been described in virtually every organ.\nThe abdominal wall is an uncommon site of extra pelvic endometriosis,\nwhich usually develops in a previous surgical scar.\nThe prevalence of surgically proven endometriosis in scars was up to 1.6 % (2).\nEndometriosis of the rectus abdominis muscle is an exceptional...\nImaging findings OR Procedure details\nPatients and methods:\nThis is a retrospective study of 10 surgically-proven cases of rectus abdominis muscle endometriosis,\nseen over a 5-year period from 2007 to 2012 that were collected from our institution (Nejran Armed Forces Hospital,\nSaudi Arabia).\nAll cases were reviewed as regards history,\nclinical examinations,\ninvestigations and management employed.\nSonographic examination was performed in all patients using 3.5- and 5.0-MHz convex-array and 7.5-MHz and 12-15 MHz linear-array transducers (Antares,\nSiemens Medical Solutions and E9 General electric medical system,\nGE).\nPower Doppler sonography was...\nConclusion\nRectus abdominis endometriosis is often misdiagnosed because it may occur years after the Caesarean section,\nthe pain is often non-cyclic in nature and there is not always a palpable mass.\nRadiological finding of a solid mass in the rectus muscle is not pathognomonic of endometriosis,\nbut if located close to a Caesarean section scar it should be of prime consideration in the differential diagnosis.\nThe final diagnosis of endometriosis rests on microscopic examination of the lesion.\nSurgical treatment is the main stay of cure for...\nReferences\nReferences:\n1.\nHorton JD,\nDezee KJ,\nAhnfeldt EP,\nWagner M.\nAbdominal wall endometriosis: A surgeon’s perspective and review of 445 cases.\nAm J Surg 2008; 196: 207–212.\n2.\nHashim H,\nShukri S: Abdominal wall endometriosis in General Surgery.\nThe Internet Journal of Surgery.2002.volume3 number 2:1-5\n3.\nTomas E,Martin A,\nGarfia C,Gomez FS,\nMorillas JD,Tortajada GC,\net al.\nAbdominal wall endometriosis in absence of previous surgery.J Ultrasound Med1999;18:373-4\n4.\nColey BD,\nCasola G.\nIncisional endometrioma involving the rectus abdominis muscle and subcutaneous tissues: CT appearance.\nAJR...\nPersonal Information\nDR JAMEL SAAD.\nASSISTANT PROFESSOR IN MONASTIR MEDICAL COLLEGE.TUNISIA.\nCONSULTANT RADIOLOGIST AND HEAD OF RADIOLOGY DEPARTMENT IN\nNEJRAN ARMED FORCES HOSPITAL PROGRAM.\nPO BOX 1002.\nNEJRAN.\nSAUDI ARABIA.","source_license":"CC0","license_restricted":false}