Focused ultrasound for the diagnosis of non-palpable endometriotic lesions of the abdominal wall: a not-uncommon surgical complication
Ultrasound examination can confirm clinical suspicion of non-palpable, post-cesarean abdominal wall endometriosis without requiring CT or MRI.
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This paper reports two case studies of abdominal wall endometriosis located in the subcutaneous tissue and within muscle, becoming symptomatic a few years after cesarean surgery. The authors note that these lesions mimic the clinical pattern of cutaneous endometriosis but are difficult to detect by physical exam because they are barely palpable, and they describe focused ultrasound as a way to confirm clinical suspicion. The main stated limitation is that the evidence is based on only two cases. Relevance to endometriosis: it directly concerns abdominal wall endometriosis and uses focused ultrasound to diagnose non-palpable lesions following cesarean intervention, though it does not address adenomyosis.
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References (20)
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- Intramuscular Abdominal Wall Endometriosis Treated by Ultrasound-Guided Ethanol Injection via openalex
- New paradigms in the diagnosis and management of endometriosis via openalex
- Pathogenesis and pathophysiology of endometriosis via openalex
- Prevalence and Symptomatic Burden of Diagnosed Endometriosis in the United States: National Estimates from a Cross-Sectional Survey of 59,411 Women via openalex
- Skin Endometriosis at the Caesarean Section Scar: A Case Report and Review of the Literature via openalex
- Standards Used by a Clinical and Scientific Endometriosis Center for the Diagnosis and Therapy of Patients with Endometriosis via openalex
- Surgical scar endometriosis via openalex
- The Obstetrical History in Patients with Pfannenstiel Scar Endometriomas – An Analysis of 81 Patients via openalex
- The Role of Stem Cells in the Etiology and Pathophysiology of Endometriosis via openalex
- The utility of ultrasound elastography in differentiation of endometriomas and hemorrhagic ovarian cysts via openalex
- Transvaginal ultrasound <i>vs</i> magnetic resonance imaging for diagnosing deep infiltrating endometriosis: systematic review and meta‐analysis via openalex
- Ultrasound diagnosis of endometriosis and adenomyosis: State of the art via openalex
- Wound endometriosis: risk factor evaluation and treatment. via openalex
- W2610921137 via openalex
- W141728048 via openalex
- W2888005236 via openalex
- W2271393109 via openalex
Cited by (5)
- Endometriosis 2026
- Role of ultrasound in the evaluation of patients with acute pelvic pain 2025
- Ultrasound Imaging of Abdominal Wall Endometriosis: A Pictorial Review 2021
- Cesarean Section: A Potential and Forgotten Risk for Abdominal Wall Endometriosis 2021
- Standards Used by a Clinical and Scientific Endometriosis Center for the Diagnosis and Therapy of Patients with Endometriosis 2019
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- europepmc
- last seen: 2026-07-26T06:08:39.051465+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-05-13T22:22:17.025735+00:00