title: Intramuscular abdominal wall endometriosis treated by ultrasound-guided ethanol injection.
abstract: Abdominal wall endometriosis (AWE) is a rare condition that usually develops in a surgical scar resulting from a Caesarean section. While commonly seen in the cutaneous and subcutaneous fat tissue at the Caesarean scar level, its intramuscular localization is quite rare. Its treatment options consist of the excision of the lesion and/or hormonal therapies, although wide surgical excision is the treatment of choice in the literature. Wide surgical excision may create a defect in the abdominal wall and may increase the risk of hernia formation and mesh complications. This case report describes the clinical and radiological findings and treatment modalities of endometriosis that have appeared in the rectus abdominis muscle of a 25-year-old patient at the Caesarean scar level. Sclerotherapy may be used for endometrioma. We present a new and alternative treatment method using ultrasound-guided intralesional ethanol injection for AWE. Compared with the complications of surgical excision, the complications of sclerotherapy by ethanol are at a more acceptable level. Sclerotherapy by ethanol injection may be an alternative treatment to surgery for AWE.
authors.affiliation: Department of Obstetrics and Gynecology, Kafkas University School of Medicine, Kars, Turkey jindrmb@yahoo.com.
authors.forename: Murat
authors.initials: M
authors.lastname: Bozkurt
authors.affiliation: Department of Radiology, Universal Hospitals Group, Malatya, Turkey.
authors.forename: A Said
authors.initials: AS
authors.lastname: Çil
authors.affiliation: Department of Radiology, Kafkas University School of Medicine, Kars, Turkey.
authors.forename: Duygu Kara
authors.initials: DK
authors.lastname: Bozkurt
mesh_terms: D034861:Abdominal Wall / Q000000981:diagnostic imaging; D000328:Adult; D004715:Endometriosis / Q000000981:diagnostic imaging / Q000628:therapy*; D000431:Ethanol / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D015552:Injections, Intralesional; D009135:Muscular Diseases / Q000000981:diagnostic imaging / Q000628:therapy*; D015911:Sclerotherapy / Q000379:methods*; D012997:Solvents / Q000627:therapeutic use*; D018084:Ultrasonography, Interventional
chemical_list: D012997:Solvents; D000431:Ethanol
keywords: Abdominal wall; Endometriosis; Fine needle aspiration cytology; Intramuscular endometriosis; Magnetic resonance imaging; Sclerotherapies