Extraperitoneal endometriosis is the presence of ectopic, functional endometrium outside the peritoneal cavity, and its occurrence is exceedingly rare. Diagnostic imaging-including ultrasound, duplex ultrasonography, and magnetic resonance imaging-in the preoperative assessment of patients with suspected abdominal wall endometriosis (AWE) is helpful for detection and accurate determination of the extent of disease. The treatment of choice for AWE is surgical excision. In addition, medical therapies can be used. We present one case of AWE treated with percutaneous radiofrequency ablation under ultrasound guidance. There were no major complications, and the patient's symptoms improved. In selected patients, radiofrequency ablation can be used safely for the treatment of AWE; however, further studies are needed to confirm this hypothesis. © 2009 Springer Science+Business Media, LLC.

Radiofrequency ablation of abdominal wall endometrioma

CARRAFIELLO, GIANPAOLO;Fontana F;Cabrini L;Piacentino F;FUGAZZOLA, CARLO
2010

Abstract

Extraperitoneal endometriosis is the presence of ectopic, functional endometrium outside the peritoneal cavity, and its occurrence is exceedingly rare. Diagnostic imaging-including ultrasound, duplex ultrasonography, and magnetic resonance imaging-in the preoperative assessment of patients with suspected abdominal wall endometriosis (AWE) is helpful for detection and accurate determination of the extent of disease. The treatment of choice for AWE is surgical excision. In addition, medical therapies can be used. We present one case of AWE treated with percutaneous radiofrequency ablation under ultrasound guidance. There were no major complications, and the patient's symptoms improved. In selected patients, radiofrequency ablation can be used safely for the treatment of AWE; however, further studies are needed to confirm this hypothesis. © 2009 Springer Science+Business Media, LLC.
Abdominal wall; Ectopic endometriosis; Endometrioma; Percutaneous treatment; Radiofrequency ablation;
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/11383/1715645
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