Anterior abdominal Wall scar endometriosis: Case series and review of imaging modalities
This case series reviews imaging modalities used to diagnose endometriosis implanted in anterior abdominal wall scar tissue, a rare condition.
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The paper describes anterior abdominal wall scar endometriosis, focusing on a rare implantation process most often reported after cesarean sections, and summarizes clinical presentation and imaging characteristics. Across a case series and review, it reports that lesions are frequently detected by combining scar-adjacent implantation history with imaging findings, and that ultrasound may show solid mildly hypoechoic lesions that can be isoechoic to surrounding muscle, with heterogeneity when bleeding or fluid is present. Computed tomography is characterized by avid contrast enhancement, while magnetic resonance imaging is described as having sensitivity to blood products, with the paper’s main limitation being that it is based on a small case series and a narrative review rather than systematic comparative diagnostic performance. This paper is centrally about endometriosis — specifically endometriosis arising in anterior abdominal wall scars and the imaging modalities used to diagnose it.
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