Glow and Behold: Indocyanine Green Fluorescence for Identification of Non-palpable Abdominal Wall Endometriomas
Case report
OA: hybrid
public-domain-us
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Indocyanine green fluorescence imaging successfully identified non-palpable abdominal wall endometriomas in a patient with chronic cyclic pain, demonstrating its utility for locating deep-seated lesions not detected by physical examination.
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Abstract
A 31-year-old G5P5 woman with a BMI of 40 kg/m2, severe dysmenorrhea, and a history of one prior cesarean delivery presented with chronic cyclic abdominal pain localized to the left lateral margin of her Pfannenstiel incision scar. Magnetic resonance imaging showed two enhancing T2 hypointense nodules with T1 susceptibility artifact along the lower rectus musculature measuring 3 cm and 2.5 cm at the midline and left lateral aspect of the surgical scar, respectively (Fig 1). The masses were 33mm and 46mm deep in the subcutaneous tissue and were not appreciated on physical examination, but these areas were significantly tender.
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Source provenance
- europepmc
- last seen: 2026-10-11T09:27:45.537177+00:00
- openalex
- last seen: 2026-10-15T06:00:39.803327+00:00
- pubmed
- last seen: 2026-10-15T06:02:15.171633+00:00
License: public-domain-us
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Courtesy of the U.S. National Library of Medicine
Courtesy of the U.S. National Library of Medicine