Endometriosis of the anterior abdominal wall: ultrasound imaging data

In: Obstetrics, Gynecology and Reproduction · 2021 · vol. 15(2) , pp. 201–207 · doi:10.17749/2313-7347/ob.gyn.rep.2021.224 · W3158212946
article OA: gold CC0 ⤵ 1 in-corpus citation
AI-generated summary by claude@2026-07, 2026-07-08

Ultrasound effectively diagnosed anterior abdominal wall endometriosis localized in the rectus abdominis muscle in a patient with a history of surgery.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

AI-generated deep summary by claude@2026-07, 2026-07-09 · read from full text

This paper presents a case report describing anterior abdominal wall endometriosis localized to the rectus abdominis muscle in the umbilical region, occurring after prior surgery, with diagnosis supported by ultrasound and confirmed by morphological examination of an excised specimen. The authors frame the condition as rare and diagnostically challenging due to nonspecific clinical features such as cyclical pain in the anterior abdominal wall, noting that a thickened area may be observed on clinical examination. A key finding is that ultrasound was used as a “simple, economical, and reliable” method to identify the lesion and guide confirmation via excision, though the report is limited to a single patient and provides no broader imaging dataset. This paper is centrally about endometriosis — anterior abdominal wall (rectus abdominis) endometriosis with ultrasound imaging findings.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Abstract

Endometriosis of the anterior abdominal wall is a rare disease comprising 0.3–3.5 %. In turn, its diagnosis is quite challenging due to the nonspecific picture, including pain in the anterior abdominal wall during menstruation. Upon clinical examination, a thickened area may be observed in the anterior abdominal wall, usually in the area of tissue involved in surgery. Ultrasound examination is a simple, economical, and reliable method of choice to diagnose extragenital endometriosis. Here we describe a case report of the patient after surgery of anterior abdominal endometriosis localized in the rectus abdominis muscle in the umbilical region and confirmed by ultrasound test and morphological examination of excised macroscopic sample.
Full text 6,344 characters · extracted from oa-doi-fallback · 2 sections · click to expand

Abstract

Endometriosis of the anterior abdominal wall is a rare disease comprising 0.3–3.5 %. In turn, its diagnosis is quite challenging due to the nonspecific picture, including pain in the anterior abdominal wall during menstruation. Upon clinical examination, a thickened area may be observed in the anterior abdominal wall, usually in the area of tissue involved in surgery. Ultrasound examination is a simple, economical, and reliable method of choice to diagnose extragenital endometriosis. Here we describe a case report of the patient after surgery of anterior abdominal endometriosis localized in the rectus abdominis muscle in the umbilical region and confirmed by ultrasound test and morphological examination of excised macroscopic sample. About the Authors E. V. KomlichenkoRussian Federation Eduard V. Komlichenko – MD, Dr Sci Med, Deputy Director of the Institute of Perinatology and Pediatrics Researcher ID: N-5315-2015 2 Akkuratova Str., Saint Petersburg 197341 Ia G. Tsnobiladze Russian Federation Ia G. Tsnobiladze – MD, Obstetrician-Gynecologist 2 Akkuratova Str., Saint Petersburg 197341 V. I. Tsibizova Russian Federation Valentina I. Tsibizova – MD, Obstetrician-Gynecologist, Research Laboratory of Operative Gynecology, Institute of Perinatology and Pediatrics; Physician, Department of Functional and Ultrasound Diagnostics 2 Akkuratova Str., Saint Petersburg 197341 I. E. Govorov Russian Federation Igor E. Govorov – MD, PhD, Doctor of Philosophy in Medicine, Obstetrician-Gynecologist, Research Laboratory of Operative Gynecology, Institute of Perinatology and Pediatrics Researcher ID: P-1257-2015 2 Akkuratova Str., Saint Petersburg 197341 A. V. Malushko Russian Federation Anton V. Malushko – MD, Obstetrician-Gynecologist 2 Akkuratova Str., Saint Petersburg 197341 A. G. Solopova Russian Federation Antonina G. Solopova – MD, Dr Sci Med, Professor, Department of Obstetrics and Gynecology, Filatov Clinical Institute of Children's Health Scopus Author ID: 6505479504. Researcher ID: Q-1385-2015. 2 bldg. 4, Bolshaya Pirogovskaya Str., Moscow 119991 V. O. Bitsadze Russian Federation Viktoria O. Bitsadze – MD, Dr Sci Med, Professor of RAS, Professor, Department of Obstetrics and Gynecology, Filatov Clinical Institute of Children’s Health Scopus Author ID: 6506003478. Researcher ID: F-8409-2017. 2 bldg. 4, Bolshaya Pirogovskaya Str., Moscow 119991 I. V. Khamani Russian Federation Inessa V. Khamani – MD, PhD, Associate Professor, Department of Obstetrics and Gynecology, Filatov Clinical Institute of Children’s Health 2 bldg. 4, Bolshaya Pirogovskaya Str., Moscow 119991

References

1. Audebert A. Endometriosis. In: Reference Module in Biomedical Sciences.Elsevier, 2018. 498–505. https://doi.org/10.1016/B978-0-12-801238-3.95837-9. 2. Andres M.P., Arcoverde F.V., Souza C.C. et al. Extrapelvic endometriosis: a systematic review. J Minim Invasive Gynecol. 2020;27(2):373–89. https://doi.org/10.1016/j.jmig.2019.10.004. 3. Balleyguier C., Chapron C., Chopin N. et al. Abdominal wall and surgical scar endometriosis: results of magnetic resonance imaging. Gynecol Obstet Invest. 2003;55(4):220–4. https://doi.org/10.1159/000072078. 4. Hensen J.-H.J., Van Breda Vriesman A.C., Puylaert J.B. Abdominal wallendometriosis: clinical presentation and imaging features with emphasis on sonography. AJR Am J Roentgenol. 2006;186(3):616–20. https://doi.org/10.2214/AJR.04.1619. 5. Wolf Y., Haddad R., Werbin N. et al. Endometriosis in abdominal scars: a diagnostic pitfall. Am Surg. 1996;62(12):1042–4. 6. Ishenko A., Kudrina E. Endometriosis: diagnosis and treatment. [Endometrioz: diagnostika i lechenie]. Moscow: GEOTAR-MED, 2002.104 p. (In Russ.). 7. Marras S., Pluchino N., Petignat P. et al. Abdominal wall endometriosis:аn 11-year retrospective observational cohort study. Eur J Obstet Gynecol eprod Biol X. 2019;4:100096. https://doi.org/10.1016/j.eurox.2019.100096. 8. Esquivel-Estrada V., Briones-Garduño J.C., Mondragón-Ballesteros R. Endometriosis implant in cesarean section surgical scar. Cir Cir. 2004;72(2):113–5. [Article in Spanish]. 9. Vercellini P., Viganò P., Somigliana E., Fedele L. et al. Endometriosis: pathogenesis and treatment. Nat Rev Endocrinol. 2014;10(5):261–75. https://doi.org/10.1038/nrendo.2013.255. 10. Healy D., Rogers P., Hii L., Wingfield M. Angiogenesis: а new theory for endometriosis. Hum Reprod Update. 1998;4(5):736–40. https://doi.org/10.1093/humupd/4.5.736. 11. Dyson M.T., Bulun S.E. Cutting SRC-1 down to size in endometriosis. Nat Med. 2012;18(7):1016–8. https://doi.org/10.1038/nm.2855. 12. Goker A., Sarsmaz K., Pekindil G. et al. Rectus abdominis muscle endometriosis. J Coll Physicians Sur Pak. 2014;24(12):944–6. 13. Horton J.D., Dezee K.J., Ahnfeldt E.P., Wagner M. Abdominal wall endometriosis: a surgeon's perspective and review of 445 cases. Am J Surg. 2008;196(2):207–12. https://doi.org/10.1016/j.amjsurg.2007.07.035. 14. Jaramillo-Cardoso A., Balcacer P., Garces-Descovich A. et al.Multimodality imaging and clinicopathologic assessmentof abdominal wall endometriosis: knocking down the enigma. Abdom Radiol (NY). 2020;45(6):1800–12. https://doi.org/10.1007/s00261-018-1666-1. 15. Oh E.M., Lee W.-S., Kang J.M. et al. A surgeon’s perspective of abdominal wall endometriosis at a caesarean section incision: nine cases in a single institution. Surg Res Prac. 2014;2014:765372. https://doi.org/10.1155/2014/765372. 16. Ding Y., Zhu J. A retrospective review of abdominal wall endometriosis in Shanghai, China. Int J Gynaecol Obstet. 2013;121(1):41–4. https://doi.org/10.1016/j.ijgo.2012.11.011. 17. Zhang J., Ding D., Liu X. Clinicopathological features of endometriosis in abdominal wall – clinical analysis of 151 cases. Clin Exp Obstet Gynecol. 2016;43(3):379–83. Review For citations: Komlichenko E.V., Tsnobiladze I.G., Tsibizova V.I., Govorov I.E., Malushko A.V., Solopova A.G., Bitsadze V.O., Khamani I.V. Endometriosis of the anterior abdominal wall: ultrasound imaging data. Obstetrics, Gynecology and Reproduction. 2021;15(2):201-207. (In Russ.) https://doi.org/10.17749/2313-7347/ob.gyn.rep.2021.224 JATS XML This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

Ask this paper AI returns verbatim quotes from the full text · source: oa-doi-fallback

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

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.

References (16)

Cited by (1)

Source provenance

openalex
last seen: 2026-06-10T17:14:06.276822+00:00
License: CC0 · commercial use OK