Gallbladder and muscular endometriosis: a case report

Franco Iafrate, F Iafrate, Ciolina M, M Ciolina, Maria Ciolina, Marcella Iannitti, M Iannitti, Iannitti M, Baldassari P, Paolo Baldassari, P Baldassari, Pichi A, Alessandro Pichi, A Pichi, Marco Rengo, M Rengo, C N De Cecco, Carlo N. De Cecco, Andrea Laghi, A Laghi
Abdominal imaging · 2012 · vol. 38(1) , pp. 120–124 · doi:10.1007/s00261-012-9879-1 · PMID:22456715 · W2016683173
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-13 ⓘ

This case report details a 55-year-old woman diagnosed via imaging and histology with endometriosis affecting both the gallbladder and abdominal wall.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 · read from full text ⓘ

This paper reports a 55-year-old woman with an abdominal mass and chronic vague abdominal pain worst in the right hypochondrium, noted to be accentuated during menstruation, with a history of two cesarean sections. Ultrasound and contrast-enhanced CT showed gallbladder and abdominal wall hyperenhancing masses, and MRI with paramagnetic contrast confirmed gallbladder involvement by solid tissue as well as a solid abdominal wall nodule. Based on imaging and contrast enhancement patterns, she underwent surgical removal of the gallbladder and the abdominal wall implant, and histology confirmed endometriosis in both sites. This paper is centrally about endometriosis — specifically gallbladder and muscular (abdominal wall) endometriosis presenting as a mass with imaging findings.

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Abstract

A 55-year-old woman referred to Radiology Department, with abdominal mass and chronic indefinite and vague abdominal pain, most severe in right hypochondrium and accentuated during menstruation. A history of two cesarean sections was revealed. The patient underwent an ultrasound and Computed Tomography with intravenous contrast media revealing the presence of gallbladder and abdominal wall hyperenhancing masses. Finally, Magnetic Resonance study with intravenous administration of paramagnetic contrast media confirmed the involvement of gallbladder by a solid tissue and the presence of a solid nodule on the abdominal wall. Considering imaging features and the contrast enhancement of the nodules, the patient was sent to surgery. Surgical removal of both gallbladder and abdominal solid implant was performed and histology confirmed the diagnosis of gallbladder and abdominal wall endometriosis.
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Abstract

A 55-year-old woman referred to Radiology Department, with abdominal mass and chronic indefinite and vague abdominal pain, most severe in right hypochondrium and accentuated during menstruation. A history of two cesarean sections was revealed. The patient underwent an ultrasound and Computed Tomography with intravenous contrast media revealing the presence of gallbladder and abdominal wall hyperenhancing masses. Finally, Magnetic Resonance study with intravenous administration of paramagnetic contrast media confirmed the involvement of gallbladder by a solid tissue and the presence of a solid nodule on the abdominal wall. Considering imaging features and the contrast enhancement of the nodules, the patient was sent to surgery. Surgical removal of both gallbladder and abdominal solid implant was performed and histology confirmed the diagnosis of gallbladder and abdominal wall endometriosis.

References

Patterson GK, Winburn GB (1999) Abdominal wall endometriomas: report of eight cases. Am Surg 65:36–39 Hensen JH, Van Breda Vriesman AC, Puylaert JB (2006) Abdominal wall endometriosis: clinical presentation and imaging features with emphasis on sonography. Am J Roentgenol 186(3):616–620 Woodward PJ, Sohaey R, Mezzetti TPJ (2001) Endometriosis: radiologic-pathologic correlation. Radiographics 21(1):193–216 Jubanyik KJ, Comite F (1997) Extrapelvic endometriosis. Obstet Gynecol Clin North Am 24(2):411–440 Koger KE, Shatney CH, Hodge K, McClenathan JH (1993) Surgical scar endometrioma. Surg Gynecol Obstet 177:243–246 Seydel AS, Sickel JZ, Warner ED, Sax HC (1996) Extrapelvic endometriosis: diagnosis and treatment. Am J Surg 171:239–241 Dwivedi AJ, Agrawal SN, Silva YJ (2002) Abdominal wall endometriomas. Dig Dis Sci 47:456–461 Saadat-Gilani K, Bechmann L, Frilling A, Gerken G, Canbay A (2007) Gallbladder endometriosis as a cause of occult bleeding. World J Gastroenterol 13(33):4517–4519 Saldaña DG, de Acosta DA, Alemán HP, Gebrehiwot D, Torres E (2010) Gallbladder endometrioma associated with obstructive jaundice and a serous ovarian cystic adenoma. South Med J 103(12):1250–1252 Blanco RG, Parithivel VS, Shah AK, et al. (2003) Abdominal wall endometriomas. Am J Surg 185:596–598 Giannella L, La Marca A, Ternelli G, Menozzi G (2010) Rectus abdominis muscle endometriosis: case report and review of the literature. J Obstet Gynaecol Res 36(4):902–906 Olive DL, Schwartz LB (1993) Endometriosis. N Engl J Med 328:1759–1769 Balleyguier C, Chapron C, Chopin N, Hélénon O, Menu Y (2003) Abdominal wall and surgical scar endometriosis: results of magnetic resonance imaging. Gynecol Obstet Invest 55(4):220–224 Nissotakis C, Zouros E, Revelos K, Sakorafas GH (2010) Abdominal wall endometrioma: a case report and review of the literature. AORN J 91(6):730–742 Woodward PJ, Sohaey R, Mezzetti TP Jr (2001) Endometriosis: radiologic-pathologic correlation. Radiographics 21(1):193–216 Tongdee R, Maroongroge P, Suthikeree W (2011) The value of MDCT scans in differentiation between benign and malignant gallbladder wall thickening. J Med Assoc Thai 94(5):592–600 Del Frate C, Girometti R, Pittino M, et al. (2006) Deep retroperitoneal pelvic endometriosis: MR imaging appearance with laparoscopic correlation. Radiographics 26(6):1705–1718 Choudhary S, Fasih N, Papadatos D, Surabhi VR (2009) Unusual imaging appearances of endometriosis. AJR Am J Roentgenol 192(6):1632–1644 Bazot M, Gasner A, Lafont C, Ballester M, Daraï E (2011) Deep pelvic endometriosis: limited additional diagnostic value of postcontrast in comparison with conventional MR images. Eur J Radiol 80(3):e331–e339 Author information Authors and Affiliations Corresponding author Rights and permissions About this article Cite this article Iafrate, F., Ciolina, M., Iannitti, M. et al. Gallbladder and muscular endometriosis: a case report. Abdom Imaging 38, 120–124 (2013). https://doi.org/10.1007/s00261-012-9879-1 Published: Issue date: DOI: https://doi.org/10.1007/s00261-012-9879-1

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Condition tags

endometriosis

MeSH descriptors

Abdominal Wall Endometriosis Gallbladder Diseases Magnetic Resonance Imaging Abdominal Wall Abdominal Wall Cesarean Section Cesarean Section Contrast Media Diagnosis, Differential Endometriosis Endometriosis Endometriosis Female Gallbladder Diseases Gallbladder Diseases Gallbladder Diseases Humans Magnetic Resonance Imaging Middle Aged

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