Diagnostic experience of multi-slice spiral CT for abdominal incision endometriosis in primary hospital

Objective To preliminarily evaluate the clinical application value of Multi-slice spiral CT (MSCT) for diagnosis of abdominal incision endometriosis. Methods Twenty eighty cases of operative treatment patients, among whom 27 cases were diagnosed abdominal incision endometriosis by postoperative pathologic in two medical units of our district from January 2002 to December 2012 were selected, and their MSCT image data and results of were analyzed retrospectively. Results Among 28 cases, 27 cases were made definite diagnosis, among whom 23 cases manifested CT manifestation of cystic mass: cystic lesions were closely connected with the adjacent organs and tissues; the CT value was 30 to 50 Hu; after cyst wall enhancement had light, moderate enhancement; occasionally with intracystic hemorrhage, it showed focal high density lesions, there was no enhancement after hemorrhage combined with liquefied. 3 cases manifested CT manifestation of cystic solid mass: cystic solid lesions were closely connected with the adjacent organs and tissues; which had parts of the CT manifestations of cystic neoplasm. 2 cases manifested solid mass, the CT scan showed equidensite solid tumor, boundary clear but not smooth. Because of endometrial vascular in ectopic nodules, the enhancement scan showed that the mass had light, moderate homogeneous enhancement, occasionally combined with bleeding. Among the 2 cases, 1 case was diagnosed abdominal fibroma by postoperative pathologic, who was misdiagnosed abdominal incision endometriosis before surgery. Conclusion Combined with clinical data, characteristics spiral CT manifestation and typical clinical symptoms, can make abdominal incision endometriosis diagnosis accurately, which also had important guiding value for excision of clinical lesions. It has advantages of quick diagnosis, easy operation, noninvasive, reliable and reproducibility, so MSCT is a value method for diagnosis of abdominal incision endometriosis.