Abdominal wall endometriosis treatment by ultrasound-guided high-intensity focused ultrasound ablation: a case report

Jae-Seong Lee, Ye-Jin Kim, Gi-Youn Hong, Su-Kyung Nam, Tae-Eung Kim
Gynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology · 2018 · vol. 35(2) , pp. 109–111 · doi:10.1080/09513590.2018.1490713 · PMID:30182777 · W2891547040
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This case report demonstrates that ultrasound-guided high-intensity focused ultrasound therapy effectively treated abdominal wall endometriosis, reducing lesion size and associated cyclic pain without complications.

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Abstract

Abdominal wall endometriosis (AWE) occurs in about 0.1% of people with endometriosis, and is often diagnosed postoperatively. Surgical resection is generally used to treat AWE. We successfully treated AWE with ultrasound-guided high-intensity focused ultrasound therapy (USgHIFU). A 37-year-old Korean female presented with a palpable subcutaneous nodule associated with cyclic pain and swelling during menstruation. She was recommended surgical excision three months ago. She had a history of laparoscopic surgery for endometriosis 4 years ago and was interested in less invasive methods of treatment. The 0.9 cm painful nodule was observed as a low-echoic shadow in transabdominal ultrasonography and as an iso-signal in T1 MRI images. USgHIFU treatment was performed under light sedation and completed when the hyperechoic area covered the entire lesion. HIFU treatment was effective without any postoperative complications such as blisters or skin burns. The lesion showed changes in hyper-intensity signal on T1 MRI images. Physical examination showed absence of pain or tenderness and three months later, the painful nodule shrunk, and the menstrual cyclic pain associated with the nodule disappeared. In conclusion, USgHIFU may represent an effective therapy for AWE.

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Condition tags

endometriosis

MeSH descriptors

Abdominal Wall Abdominal Wall Endometriosis High-Intensity Focused Ultrasound Ablation Adult Endometriosis Endometriosis Female High-Intensity Focused Ultrasound Ablation Humans Magnetic Resonance Imaging Treatment Outcome Ultrasonography

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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