Ultrasound Characterization of Abdominal Wall Endometriosis

Mohammed Hassan
In: Indian Journal of Forensic Medicine & Toxicology · 2020 · doi:10.37506/ijfmt.v14i3.10543 · W4245323764
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This study identified ultrasound characteristics of abdominal wall endometriosis, finding hypoechoic, heterogeneous lesions with solid consistency, primarily hard on elastography, and accurately assessed muscle infiltration in most cases.

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

This cross-sectional study evaluated ultrasound findings in 32 women from Baghdad governorate who had abdominal wall masses proven by postoperative histopathology to be abdominal wall endometriosis, with most having at least one prior cesarean section. Using superficial ultrasound, color Doppler, and elastography, the authors reported that lesions were predominantly hypoechoic with heterogeneity, mostly had solid consistency, and frequently appeared hard on elastography; they also assessed muscle infiltration and reported an accuracy of 71%. A key limitation is the small sample size and that diagnosis relied on histopathology after surgery, meaning imaging performance is tied to patients already selected for operative management. This paper is centrally about endometriosis — it characterizes ultrasound, Doppler, and elastography features of abdominal wall endometriosis with implications for differentiating endometrioma from other abdominal wall lesions.

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Abstract

Background:Aim: Our aim in this study is to define the ultrasound finding in the patients have abdominal wall mass proven by postoperative histopathology as abdominal wall endometriosis. Patients & Methods: A cross sectional study was done from first of August 2016- first of September 2019 in Baghdad governorate. The study included 32 patients. Diagnosis done by superficial ultrasound examination. Results: 32 female have done at least 1 Cesarean section the commenst presenting symptom was pain in 90% of patients , all the lesions were hypoechoic in texture , with heterogeneity and small foci of echogenisity in 75% of our population , the consistency of the lesions was purely sold in 93.8% of lesions ,on color Doppler only 18.7% was avascular , the resistive index of the arterial flow was below 0.70 in 31 % of patients ,on elastography 78.5% of lesions was hard , the accuracy of assessment of muscle infiltration was 71% ,the ultrasound was the only imaging required preoperatively in 85% of our patients , the ultrasound was able to discriminate between endometrioma and collection or hernias in all patients and was the in the differential diagnosis list in about 90% of our population Conclusion: the ultrasound characteristics of abdominal wall endometriosis if combined with clinical features and symptoms of the patients is excellent preoperative imaging modality to reach the diagnosis and exclude other lesions and accurately assessing muscle invasion in most of cases for proper surgical planning
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Results

32 female have done at least 1 Cesarean section the commenst presenting symptom was pain in 90% of patients , all the lesions were hypoechoic in texture , with heterogeneity and small foci of echogenisity in 75% of our population , the consistency of the lesions was purely sold in 93.8% of lesions ,on color Doppler only 18.7% was avascular , the resistive index of the arterial flow was below 0.70 in 31 % of patients ,on elastography 78.5% of lesions was hard , the accuracy of assessment of muscle infiltration was 71% ,the ultrasound was the only imaging required preoperatively in 85% of our patients , the ultrasound was able to discriminate between endometrioma and collection or hernias in all patients and was the in the differential diagnosis list in about 90% of our population

Conclusion

the ultrasound characteristics of abdominal wall endometriosis if combined with clinical features and symptoms of the patients is excellent preoperative imaging modality to reach the diagnosis and exclude other lesions and accurately assessing muscle invasion in most of cases for proper surgical planning Downloads Published Issue Section License https://creativecommons.org/licenses/by-nc/2.0/deed.en

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Condition tags

endometriosisendometrioma

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.

References (12)

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