Efficacy of transabdominal sonoelastography in the diagnosis of caesarean section scar endometrioma: A pilot study

M Fawzy, Mustafa A. Fawzy, Talal Amer, T Amer
Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology · 2015 · vol. 35(8) , pp. 832–834 · doi:10.3109/01443615.2015.1011107 · PMID:25710101 · W2146099785
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This pilot study found that transabdominal sonoelastography clearly defined caesarean section scar endometriomas, providing preoperative information about lesion extent compared to standard B-mode ultrasound.

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Abstract

Transabdominal sonoelastography (TASE) is a new imaging technique that maps the elastic properties of soft tissue. We evaluated 34, consecutive women with suspected scar endometrioma using standard B-mode ultrasound and elastography. Twenty-three women (23/34) underwent surgical excision and had the diagnosis confirmed by histopathology. All endometriomas (23 patients) in B-mode imaging appeared as hypoechoic masses along the line of a previous caesarean section incision and the outer borders were difficult to define precisely. By TASE, the endometrioma presented a typical blue-green-red appearance and the outer borders were clearly defined. (red and green area corresponds with the central hypoechoic soft areas). Strain ratios varied from 0.02 to 0.75. Real-time TASE is a simple, useful technique in confirming a clinical diagnosis of endometrioma in a caesarean section scar. Compared with B-mode ultrasound, it provides additional, preoperative information about the extent of the lesion that may be helpful to the surgeon.

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Condition tags

mesh:D004715endometrioma

MeSH descriptors

Cesarean Section Elasticity Imaging Techniques Endometriosis Adult Cesarean Section Endometriosis Endometriosis Female Humans Pilot Projects Young Adult

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.

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Cited by (7)

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