Use of radioguided surgery in abdominal wall endometriosis: An innovative approach

Geraldo Sérgio Farinazzo Vitral, Geraldo Vitral, Robert Willer Farinazzo Vitral, Hakayna Calegaro Salgado, João Matheus de Castro Rangel
World journal of nuclear medicine · 2018 · vol. 17(03) , pp. 204–206 · doi:10.4103/wjnm.wjnm_47_17 · PMID:30034288 · W2809329271
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This paper describes the successful use of radioguided occult lesion localization (ROLL™) to identify and surgically remove an impalpable abdominal wall endometriosis lesion in a patient with a history of cesarean section.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text ⓘ

This paper describes a 43-year-old patient with a history of cesarean section and long-standing pelvic endometriosis who developed progressive abdominal pain, with imaging suggesting a 1.6 cm cystic lesion containing debris in the left rectus abdominis. Because the abdominal wall endometriotic lesion was impalpable and not identifiable on clinical exam, the authors used Radioguided Occult Lesion Localization (ROLL™) with a preoperative radiotracer marking technique to locate it. The radioguided approach enabled rapid intraoperative identification and complete excision of the lesion. This paper is centrally about endometriosis—specifically radioguided surgical localization and removal of an abdominal wall endometriotic lesion.

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Abstract

Endometriosis is characterized by the presence of endometrial glands and stroma outside the uterine cavity. The occurrence of endometriosis in the anterior abdominal wall is often associated with previous cesarean section, once the spread of endometrial cells during the surgical procedure is a biologically fact possible. A 43-year-old patient, with cesarean section history and pelvic endometriosis diagnosed for over 10 years, presented with progressive abdominal pain. Tests showed cystic image with 1.6 cm of diameter and debris, located in mid-lower portion of the rectus abdominis left, suggesting abdominal wall endometriosis. This abdominal wall lesion was not identifiable in the clinical examination (impalpable), which is why we opted for the use of preoperative marking technique with radioisotope called Radioguided Occult Lesion Localization (ROLL™). The use of ROLL™ in this case allowed rapid surgical identification of endometriotic lesion and its complete excision.
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Subscribe to RSS DOI: 10.4103/wjnm.WJNM_47_17 Use of radioguided surgery in abdominal wall endometriosis: An innovative approach Authors Endometriosis is characterized by the presence of endometrial glands and stroma outside the uterine cavity. The occurrence of endometriosis in the anterior abdominal wall is often associated with previous cesarean section, once the spread of endometrial cells during the surgical procedure is a biologically fact possible. A 43-year-old patient, with cesarean section history and pelvic endometriosis diagnosed for over 10 years, presented with progressive abdominal pain. Tests showed cystic image with 1.6 cm of diameter and debris, located in mid-lower portion of the rectus abdominis left, suggesting abdominal wall endometriosis. This abdominal wall lesion was not identifiable in the clinical examination (impalpable), which is why we opted for the use of preoperative marking technique with radioisotope called Radioguided Occult Lesion Localization (ROLL™). The use of ROLL™ in this case allowed rapid surgical identification of endometriotic lesion and its complete excision. Publication History Article published online: 17 May 2022 © 2018. Sociedade Brasileira de Neurocirurgia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/) Thieme Medical and Scientific Publishers Pvt. Ltd. A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

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endometriosis

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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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