Extrapelvic Location: Abdominal Wall Endometriosis. Diagnostic and Interventional Imaging

Léo Razakamanantsoa, Milan Najdawi
In: Imaging of Endometriosis: A Comparative Guide of US, MRI and Surgery · 2025 · pp. 243–259 · doi:10.1007/978-3-031-82750-1_13 · W4410897496
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-08 ⓘ

Abdominal wall endometriosis, a rare extrapelvic variant, presents with pain and is diagnosed via ultrasound and MRI, with hormonal therapy and surgical excision as treatment options.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 ⓘ

This chapter reviews abdominal wall endometriosis (AWE), an uncommon extrapelvic endometriosis variant, focusing on how it presents with pain and how it is diagnosed and treated using abdominal ultrasound as first-line imaging followed by MRI with sequences both with and without contrast. In complex cases, it describes the use of fine-needle aspiration or percutaneous biopsy and notes that hormonal therapy is the initial treatment, while surgical excision is used when therapy fails, despite operative risks tied to abdominal wall anatomy, prosthetic implantation needs, and higher recurrence over time. It also surveys minimally invasive interventional radiology approaches such as cryoablation, radiofrequency, microwave, and high-intensity focused ultrasound, citing promising outcomes including pain relief and cosmetic effects, while emphasizing that definitive roles and long-term follow-up outcomes require extensive multicenter prospective studies. This paper is centrally about endometriosis — it specifically addresses abdominal wall endometriosis diagnosis and minimally invasive interventional imaging and treatment considerations.

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endometriosis

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last seen: 2026-06-10T17:14:06.276822+00:00
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