Percutaneous cryoablation of abdominal wall endometriosis: the Mayo Clinic approach

Abdominal wall endometriosis (AWE) is a rare form of endometriosis that often results in substantial pain and debility. The current treatment algorithm for AWE is not well established. The purpose of this review is to describe the Mayo Clinic experience with thermal ablation of symptomatic AWE as well as to review current imaging and interventional literature regarding the diagnosis and treatment of AWE. Similar content being viewed by others

Khan Z, Zanfagnin V, El-Nashar SA, Famuyide AO, Daftary GS, Hopkins MR. Risk Factors, Clinical Presentation, and Outcomes for Abdominal Wall Endometriosis. J Minim Invasive Gynecol. 2017;24(3):478-84. Rindos NB, Mansuria S. Diagnosis and Management of Abdominal Wall Endometriosis: A Systematic Review and Clinical Recommendations. Obstet Gynecol Surv. 2017;72(2):116-22. Nominato NS, Prates LF, Lauar I, Morais J, Maia L, Geber S. Caesarean section greatly increases risk of scar endometriosis. Eur J Obstet Gynecol Reprod Biol. 2010;152(1):83-5. Horton JD, Dezee KJ, Ahnfeldt EP, Wagner M. Abdominal wall endometriosis: a surgeon’s perspective and review of 445 cases. Am J Surg. 2008;196(2):207-12. Carrafiello G, Fontana F, Pellegrino C, Mangini M, Cabrini L, Mariani D, et al. Radiofrequency ablation of abdominal wall endometrioma. Cardiovasc Intervent Radiol. 2009;32(6):1300-3. Cornelis F, Petitpierre F, Lasserre AS, Tricaud E, Dallaudiere B, Stoeckle E, et al. Percutaneous cryoablation of symptomatic abdominal scar endometrioma: initial reports. Cardiovasc Intervent Radiol. 2014;37(6):1575-9. Dibble EH, D’Amico KC, Bandera CA, Littrup PJ. Cryoablation of Abdominal Wall Endometriosis: A Minimally Invasive Treatment. AJR Am J Roentgenol. 2017;209(3):690-6. Maillot J, Brun JL, Dubuisson V, Bazot M, Grenier N, Cornelis FH. Mid-term outcomes after percutaneous cryoablation of symptomatic abdominal wall endometriosis: comparison with surgery alone in a single institution. Eur Radiol. 2017;27(10):4298-306. Bazot M, Bharwani N, Huchon C, Kinkel K, Cunha TM, Guerra A, et al. European society of urogenital radiology (ESUR) guidelines: MR imaging of pelvic endometriosis. Eur Radiol. 2017;27(7):2765-75. Yarmish G, Sala E, Goldman DA, Lakhman Y, Soslow RA, Hricak H, et al. Abdominal wall endometriosis: differentiation from other masses using CT features. Abdom Radiol (NY). 2017;42(5):1517-23. Moura APC, Ribeiro H, Bernardo WM, Simoes R, Torres US, D’Ippolito G, et al. Accuracy of transvaginal sonography versus magnetic resonance imaging in the diagnosis of rectosigmoid endometriosis: Systematic review and meta-analysis. PLoS One. 2019;14(4):e0214842. Bartlett DJ, Burkett BJ, Burnett TL, Sheedy SP, Fletcher JG, VanBuren WM. Comparison of routine pelvic US and MR imaging in patients with pathologically confirmed endometriosis. Abdom Radiol (NY). 2019. Robinson KA, Menias CO, Chen L, Schiappacasse G, Shaaban AM, Caserta MP, et al. Understanding malignant transformation of endometriosis: imaging features with pathologic correlation. Abdom Radiol (NY). 2019. Gidwaney R, Badler RL, Yam BL, Hines JJ, Alexeeva V, Donovan V, et al. Endometriosis of abdominal and pelvic wall scars: multimodality imaging findings, pathologic correlation, and radiologic mimics. Radiographics. 2012;32(7):2031-43. Vaz-de-Macedo C, Gomes-da-Costa A, Mendes S, Barata S, Alho C, Jorge CC, et al. Abdominal Wall Endometriosis Excision with Mesh Closure - Report of Two Cases. Surg Technol Int. 2016;28:196-201. Luo S, Zhang C, Huang JP, Huang GH, He J. Ultrasound-guided high-intensity focused ultrasound treatment for abdominal wall endometriosis: a retrospective study. BJOG. 2017;124 Suppl 3:59-63. Wang Y, Wang W, Wang L, Wang J, Tang J. Ultrasound-guided high-intensity focused ultrasound treatment for abdominal wall endometriosis: preliminary results. Eur J Radiol. 2011;79(1):56-9. Xiao-Ying Z, Hua D, Jin-Juan W, Ying-Shu G, Jiu-Mei C, Hong Y, et al. Clinical analysis of high-intensity focussed ultrasound ablation for abdominal wall endometriosis: a 4-year experience at a specialty gynecological institution. Int J Hyperthermia. 2019;36(1):87-94. Zhao L, Deng Y, Wei Q, Chen J, Zhao C. Comparison of ultrasound-guided high-intensity focused ultrasound ablation and surgery for abdominal wall endometriosis. Int J Hyperthermia. 2018;35(1):528-33. Zhu X, Chen L, Deng X, Xiao S, Ye M, Xue M. A comparison between high-intensity focused ultrasound and surgical treatment for the management of abdominal wall endometriosis. BJOG. 2017;124 Suppl 3:53-8. Kurup AN, Schmit GD, Morris JM, Atwell TD, Schmitz JJ, Weisbrod AJ, et al. Avoiding Complications in Bone and Soft Tissue Ablation. Cardiovasc Intervent Radiol. 2017;40(2):166-76. Littrup PJ, Bang HJ, Currier BP, Goodrich DJ, Aoun HD, Heilbrun LK, et al. Soft-tissue cryoablation in diffuse locations: feasibility and intermediate term outcomes. J Vasc Interv Radiol. 2013;24(12):1817-25. Schmitz JJ, Schmit GD, Atwell TD, Callstrom MR, Kurup AN, Weisbrod AJ, et al. Percutaneous Cryoablation of Extraabdominal Desmoid Tumors: A 10-Year Experience. AJR Am J Roentgenol. 2016;207(1):190-5. Welch BT, Callstrom MR, Morris JM, Kurup AN, Schmit GD, Weisbrod AJ, et al. Feasibility and oncologic control after percutaneous image guided ablation of metastatic renal cell carcinoma. J Urol. 2014;192(2):357-63. Murray CA, Welch BT, Schmit GD, Schmitz JJ, Weisbrod AJ, Callstrom MR, et al. Safety and Efficacy of Percutaneous Image-guided Cryoablation of Completely Endophytic Renal Masses. Urology. 2019. Cazzato RL, Garnon J, Shaygi B, Tsoumakidou G, Caudrelier J, Koch G, et al. How to Perform a Routine Cryoablation Under MRI Guidance. Top Magn Reson Imaging. 2018;27(1):33-8. Author information Authors and Affiliations Corresponding author Additional information Publisher's Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Rights and permissions About this article Cite this article Welch, B.T., Ehman, E.C., VanBuren, W.M. et al. Percutaneous cryoablation of abdominal wall endometriosis: the Mayo Clinic approach. Abdom Radiol 45, 1813–1817 (2020). https://doi.org/10.1007/s00261-019-02379-4 Published: Version of record: Issue date: DOI: https://doi.org/10.1007/s00261-019-02379-4