Endometriosis de la pared abdominal

Ricardo Ortega Herrera, Félix Serrano Puche, Elisa Prieto Sánchez, Irene Gómez de Travecedo y Calvo, Pablo López Marín, María Josefa Rubí Uriá
In: Progresos de Obstetricia y Ginecología · 2012 · vol. 55(8) , pp. 367–372 · doi:10.1016/j.pog.2011.09.011 · W1989044355
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This study analyzed clinical and imaging findings in 11 patients with abdominal wall endometriosis, finding that palpable masses near cesarean scars, often hypoechoic on ultrasound, were highly suggestive of the condition.

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Abstract

Descripción de los hallazgos radiológicos y clínicos de las pacientes con endometriosis de la pared abdominal (EPA). Estudio retrospectivo de 11 casos de pacientes intervenidas por EPA en nuestro hospital durante 4 años. Se analizaron la sospecha clínica, los factores de riesgo, las manifestaciones clínicas y hallazgos de imagen mediante ecografía, tomografía computarizada (TC) y resonancia magnética (RM). La manifestación clínica más frecuente fue la palpación de un bulto en la pared abdominal con o sin dolor. El 70% de las pacientes tenían antecedentes de cesárea. Ecográficamente la mayoría de las lesiones eran hipoecoicas. En la TC se mostraban sólidas, con realce moderado. En la RM los endometriomas presentaban un comportamiento similar al de los hematomas en diferentes estados evolutivos. Los hallazgos de imagen de masas sólidas cercanas a la cicatriz de una cesárea anterior sugieren el diagnóstico prácticamente de certeza de EPA. To describe the radiological and clinical findings in women with abdominal wall endometriosis (AWE). A retrospective study of 11 patients who underwent surgery for AWE in our hospital over a 4-year period was performed. Clinical suspicion, risk factors, clinical manifestations and imaging findings using ultrasound, computed tomography (CT) and magnetic resonance imaging (MRI) were analyzed. The most frequent clinical manifestation was palpation of a lump in the abdominal wall with or without pain. Seventy percent of the patients had a previous cesarean section. Sonographically most of lesions were hypoechoic. On CT scanning, the masses were solid with moderate enhancement. On MRI, the endometriomas showed a similar behaviour to hematomas at distinct stages of progression. An imaging finding of a solid mass close to a scar from a previous caesarean section strongly suggests a diagnosis of AWE.

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Condition tags

endometriosis

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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