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P10.04: How common is endometrioma decidualisation in pregnancy? Insights from IVF cycles
Author(s) -
Filippi F.,
Alagna F.,
Biancardi R.,
Benaglia L.,
Somigliana E.
Publication year - 2019
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1002/uog.20969
Subject(s) - miscarriage , pregnancy , gynecology , obstetrics , gestation , biology , endometriosis , medicine , genetics
systematic overview for the research articles published up until February 2019 was also performed. Results: 45 patients presented a diagnostic Esquivel triad: history a Caesarean section, various degree of cyclic local pain during ovulation or/and menses and a nodular tumour nearby surgical scar. No previous history of pelvic endometriosis was detected. The ultrasound scans were performed in 46 cases – usually AWE appears as a nonhomogeneous hypoechoic mass with echogenic spots or thick echogenic strands, hypovascular. (figure 1). Surgical removal of the tumour was done in 42 cases and endometriosis was histopathological confirmed. No recurrence till now was reported. Conclusions: AWE is a condition that should be highly suspected upon the triad: tumour, cyclic pain and previous pelvic surgery (especially C-section). Sonographic (including Doppler) scans of the abdominal wall soft tissue help considerably the correct diagnosis of this condition. MRI and CT are non-specific and should not be used as a primary diagnostic tool. The only curative treatment is surgery, including large excisions. It is expected that AWE will be encountered more often in daily practice due to increasing rate of Caesarean deliveries. Therefore both physicians and sonographers should be more familiar with this pathology.