Clinical and Sonographic Evaluation of Abdominal Wall Endometriosisand Their Correlation with Surgical Findings

Document Type : Original Article


1 Associate Professor of Radiology, Mashhad University of Medical Sciences, Mashhad, Iran

2 MD., Mashhad, Iran.


Introduction: Abdominal wall endometriosis is a complication of cesarean section, which can be diagnosed by sonography. The purpose of this study was to evaluate the clinical and sonographic findings of abdominal wall endometriosis and comparative these by surgical finding.
Material and Methods: In a retrospective study, we evaluated 19 patients who complained of suprapubic pain and palpable mass at the site of previous cesarean section. All patients were evaluated by sonography and in six of them color Doppler sonography was performed. Sonographic findings were compared with surgical findings.
Results: There was history of one cesarean section in 16 patients and twice in 3 patients. All patients complained of pain around the scar. In 13 patients the pain was permanent, but in 6 of them was cyclic and intermittent, which increased around the menstrual period. In 15 patients there was a palpable mass around the line of cesarean section. In all patients a mass was detected by sonography, which was solid and hypoechoic in 17 patients and solid and isoechoic in two patients. In six patients color Doppler sonography showed variable arterial and venous flow. In three of patients color Doppler sonography was performed around the menstrual period, which showed more prominent arterial and venous flow accompanied by some small echo free changes. Surgical findings were available in 15 patients, which were comparable to the sonographic findings.
Conclusion: Abdominal wall endometriosis often presents as palpable masses and permanent supra pubic pain. In Doppler sonographic evaluation it appears as a hypoechoic mass with a variable flow pattern.


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