Radiofrequency ablation of abdominal wall endometrioma.
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.
Carrafiello
Gianpaolo
G
Varese, Italy. gcarraf@tin.it
Fontana
Federico
F
Pellegrino
Carlo
C
Mangini
Monica
M
Cabrini
Luca
L
Mariani
Davide
D
Piacentino
Filippo
F
Cuffari
Salvatore
S
Laganà
Domenico
D
Fugazzola
Carlo
C
D034861:Abdominal Wall / Q000601:surgery*; D000328:Adult; D017115:Catheter Ablation / Q000379:methods*; D003287:Contrast Media; D004715:Endometriosis / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D010147:Pain Measurement; D010743:Phospholipids; D013459:Sulfur Hexafluoride; D014463:Ultrasonography
D003287:Contrast Media; D010743:Phospholipids; C420843:contrast agent BR1; D013459:Sulfur Hexafluoride