Abdominal Wall Endometriosis Diagnosed by Ultrasonography: A Case Report

美金 郝
In: Advances in Clinical Medicine · 2017 · vol. 07(03) , pp. 198–201 · doi:10.12677/acm.2017.73032 · W2748777601
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This case report describes ultrasonographic features of abdominal wall endometriosis in a patient with cesarean scar pain, confirming the diagnosis via pathology and highlighting ultrasound as a preferred diagnostic method.

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This case report describes a patient with a history of cesarean section who presented with a hard, tender nodule at the surgical scar site that exhibited periodic pain synchronized with menstruation. Ultrasonography revealed a hypoechoic mass with irregular borders and internal blood flow signals characterized by low-speed, high-resistance arterial spectra, findings that supported a diagnosis of abdominal wall endometriosis. The diagnosis was subsequently confirmed by postoperative pathology, which identified endometriosis accompanied by an inflammatory reaction. This paper is centrally about endometriosis — specifically the ultrasonographic diagnosis and pathological confirmation of abdominal wall endometriosis in a post-cesarean scar.

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Abstract

报告一例经超声诊断的腹壁子宫内膜异位症患者。该患者有剖宫产手术史；手术切口瘢痕处结节，质硬，边界欠清，有触痛；有与月经相关的周期性切口瘢痕处疼痛等临床表现；超声表现：肿块位于腹壁切口处皮下软组织内，呈中低回声结节，边界欠清，形态欠规则，且彩色多普勒血流显像显示肿块内部及边缘可见血流信号，脉冲多普勒显示血流信号为低速高阻的动脉频谱。考虑符合腹壁子宫内膜异位症的诊断。术后病理诊断为子宫内膜异位症伴炎症反应。超声检查具有简便、快捷、经济、无痛苦、可重复性强等优点，并能动态观察病情变化，是诊断子宫内膜异位症的首选方法。 A patient with abdominal wall endometriosis diagnosed by ultrasonography was reported. The patient had a history of cesarean section. A hard and tender nodule with unclear border was found at the scar of surgical incision. There was periodic scar pain related with menstruation. Ultraso-nography showed the nodule located in the subcutaneous soft tissue of the surgical incision, with low echoes, unclear border and irregular shape. Color Doppler showed blood flow signals around and inside the mass, which were demonstrated as “low speed and high resistance” by Pulse Doppler. The data above supported the diagnosis of endometriosis. The pathologic diagnosis after surgery was endometriosis accompanied with inflammatory reaction. Ultrasonography had many advantages such as convenient, fast, inexpensive, painless, and repeatable. In addition, it could monitor the changes of diseases. Ultrasonography was the preferred method for diagnosis of endometriosis.
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超声诊断腹壁子宫内膜异位症1例报道 Abdominal Wall Endometriosis Diagnosed by Ultrasonography: A Case Report Abdominal Wall Endometriosis Diagnosed by Ultrasonography: A Case Report DOI: 10.12677/ACM.2017.73032, PDF, 被引量 作者: 郝美金, 薛红元, 潘红然：河北省人民医院功能科，河北 石家庄 关键词: 子宫内膜异位症；腹壁；超声；Endometriosis； Abdominal Wall； Ultrasonography 作者: 郝美金, 薛红元, 潘红然：河北省人民医院功能科，河北 石家庄 关键词: 子宫内膜异位症；腹壁；超声；Endometriosis； Abdominal Wall； Ultrasonography 摘要: 报告一例经超声诊断的腹壁子宫内膜异位症患者。该患者有剖宫产手术史；手术切口瘢痕处结节，质硬，边界欠清，有触痛；有与月经相关的周期性切口瘢痕处疼痛等临床表现；超声表现：肿块位于腹壁切口处皮下软组织内，呈中低回声结节，边界欠清，形态欠规则，且彩色多普勒血流显像显示肿块内部及边缘可见血流信号，脉冲多普勒显示血流信号为低速高阻的动脉频谱。考虑符合腹壁子宫内膜异位症的诊断。术后病理诊断为子宫内膜异位症伴炎症反应。超声检查具有简便、快捷、经济、无痛苦、可重复性强等优点，并能动态观察病情变化，是诊断子宫内膜异位症的首选方法。 Abstract: A patient with abdominal wall endometriosis diagnosed by ultrasonography was reported. The patient had a history of cesarean section. A hard and tender nodule with unclear border was found at the scar of surgical incision. There was periodic scar pain related with menstruation. Ultraso-nography showed the nodule located in the subcutaneous soft tissue of the surgical incision, with low echoes, unclear border and irregular shape. Color Doppler showed blood flow signals around and inside the mass, which were demonstrated as “low speed and high resistance” by Pulse Doppler. The data above supported the diagnosis of endometriosis. The pathologic diagnosis after surgery was endometriosis accompanied with inflammatory reaction. Ultrasonography had many advantages such as convenient, fast, inexpensive, painless, and repeatable. In addition, it could monitor the changes of diseases. Ultrasonography was the preferred method for diagnosis of endometriosis. 文章引用：郝美金, 薛红元, 潘红然. 超声诊断腹壁子宫内膜异位症1例报道[J]. 临床医学进展, 2017, 7(3): 198-201. https://doi.org/10.12677/ACM.2017.73032

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