Magnetic Resonance Imaging–Guided High-Intensity Focused Ultrasound is a Noninvasive Treatment Modality for Patients with Abdominal Wall Endometriosis

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Magnetic resonance imaging-guided high-intensity focused ultrasound effectively treated abdominal wall endometriosis noninvasively, reducing pain and lesion size in patients.

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Abstract

Two women (29 and 35 years of age) presented with an abdominal wall mass in close proximity to a cesarean scar. The main complaints consisted of pain at the site of the mass with catamenial exacerbations. Clinical and imaging findings were consistent with abdominal wall endometriosis in both cases. First, hormonal treatment was started, which proved unsuccessful. Typically, at this point, the proposed treatment would be wide surgical excision. Alternatively, magnetic resonance imaging-guided high-intensity focused ultrasound treatment was offered with the goal to diminish pain complaints noninvasively. Upon treatment, both patients' complaints diminished although some cyclic pain persisted. Overall, these cases show that magnetic resonance imaging-guided high-intensity focused ultrasound can be used as a noninvasive treatment method to reduce complaints in patients with abdominal wall endometriosis.

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Condition tags

endometriosis

MeSH descriptors

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

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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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