Radiofrequency Ablation of Abdominal Wall Endometrioma

Gianpaolo Carrafiello, Federico Fontana, Carlo Pellegrino, Monica Mangini, Luca Cabrini, Davide Mariani, Filippo Piacentino, Salvatore Cuffari, Domenico Laganà, Carlo Fugazzola
Cardiovascular and interventional radiology · 2009 · vol. 32(6) , pp. 1300–1303 · doi:10.1007/s00270-008-9500-8 · PMID:19184197 · W1964212785
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-07 ⓘ

This case report describes the successful ultrasound-guided percutaneous radiofrequency ablation of an abdominal wall endometriosis in one patient with symptom improvement and no major complications.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text ⓘ

This paper reports a case of abdominal wall endometrioma (a rare form of extraperitoneal endometriosis) managed with percutaneous radiofrequency ablation performed under ultrasound guidance, after preoperative imaging assessment with ultrasound, duplex ultrasonography, and MRI. The authors describe improved symptoms after the procedure and note no major complications. Their main caveat is that the experience is limited to a single selected patient and that additional studies are needed to confirm safety and efficacy. This paper is centrally about endometriosis — specifically abdominal wall endometrioma treated with ultrasound-guided percutaneous radiofrequency ablation.

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Abstract

Extraperitoneal endometriosis is the presence of ectopic, functional endometrium outside the peritoneal cavity, and its occurrence is exceedingly rare. Diagnostic imaging—including ultrasound, duplex ultrasonography, and magnetic resonance imaging—in the preoperative assessment of patients with suspected abdominal wall endometriosis (AWE) is helpful for detection and accurate determination of the extent of disease. The treatment of choice for AWE is surgical excision. In addition, medical therapies can be used. We present one case of AWE treated with percutaneous radiofrequency ablation under ultrasound guidance. There were no major complications, and the patient’s symptoms improved. In selected patients, radiofrequency ablation can be used safely for the treatment of AWE; however, further studies are needed to confirm this hypothesis. Similar content being viewed by others

References

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Condition tags

endometriosisendometrioma

MeSH descriptors

Abdominal Wall Catheter Ablation Endometriosis Abdominal Wall Adult Catheter Ablation Contrast Media Endometriosis Endometriosis Endometriosis Female Humans Magnetic Resonance Imaging Pain Measurement Phospholipids Sulfur Hexafluoride Ultrasonography

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