Abdominal wall endometriosis: an update in clinical, imagistic features, and management options

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This review details the latest information on risk factors, clinical and imaging findings, and management options for abdominal wall endometriosis, a rare condition often associated with surgical scars and cyclical pain.

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This review article examines abdominal wall endometriosis, a rare condition characterized by endometrial tissue implantation in the subcutaneous layers or muscles of the abdomen, often resulting from prior obstetrical or gynecological surgeries. The authors highlight that diagnosis is frequently challenging due to limited radiologic literature and emphasize key clinical features such as palpable masses near surgical scars accompanied by cyclic pain and swelling during menstruation. With cesarean delivery rates rising, the paper stresses the necessity for physicians and sonographers to recognize these imagistic and clinical findings to improve detection and management strategies. This paper is centrally about endometriosis — specifically focusing on the clinical presentation, imaging characteristics, and treatment options for abdominal wall endometriosis.

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Abstract

Abdominal wall endometriosis (AWE) is a rare condition defined by the presence of endometrial tissue in the subcutaneous fatty layer and the muscles of the abdominal wall. It is usually caused by the dissemination of endometrial tissue in the wound at the time of obstetrical and gynecological surgeries. AWE is rare and difficult to diagnose. The most frequent clinical presentation is that of a palpable subcutaneous mass near surgical scars associated with cyclic pain and swelling during menses. AWE may be an underreported pathology partly because it has scarcely received attention in the radiologic literature. Its frequency is expected to rise along with the increasing rate of cesarean deliveries; thus, it is important that physicians or sonographers are familiar with this pathology. The purpose of our review is to present the latest data regarding risk factors, clinical and imagisticfindings, and management of AWE.
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Abstract

Abdominal wall endometriosis (AWE) is a rare condition defined by the presence of endometrial tissue in the subcutaneous fatty layer and the muscles of the abdominal wall. It is usually caused by the dissemination of endometrial tissue in the wound at the time of obstetrical and gynecological surgeries. AWE is rare and difficult to diagnose. The most frequent clinical presentation is that of a palpable subcutaneous mass near surgical scars associated with cyclic pain and swelling during menses. AWE may be an underreported pathology partly because it has scarcely received attention in the radiologic literature. Its frequency is expected to rise along with the increasing rate of cesarean deliveries; thus, it is important that physicians or sonographers are familiar with this pathology. The purpose of our review is to present the latest data regarding risk factors, clinical and imagistic findings, and management of AWE.

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DOI: http://dx.doi.org/10.11152/mu-1248 Refbacks - There are currently no refbacks.

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Condition tags

endometriosis

MeSH descriptors

Abdominal Wall Endometriosis Magnetic Resonance Imaging Ultrasonography Abdominal Wall Abdominal Wall Endometriosis Endometriosis Female Humans Magnetic Resonance Imaging Ultrasonography

Citation neighborhood

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europepmc
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