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Ultrasound‐guided excision of rectus abdominis muscle endometriosis
Author(s) -
Coccia Maria Elisabetta,
Rizzello Francesca,
Nannini Sara,
Cozzolino Mauro,
Capezzuoli Tommaso,
Castiglione Francesca
Publication year - 2015
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.12502
Subject(s) - medicine , endometriosis , rectus abdominis muscle , ultrasound , magnetic resonance imaging , context (archaeology) , abdominal wall , radiology , nodule (geology) , ultrasonography , rectus sheath , surgery , pathology , paleontology , biology
We report a rare case of rectus abdominis muscle endometriosis excised under ultrasound guidance. A 36‐year‐old woman came to our observation presenting an abdominal nodule located in the right side of the umbilical area. Ultrasound of the abdominal wall showed two hypoechogenic nodules in the context of the right rectus abdominis muscle and a fine‐needle aspiration, performed under ultrasound guidance, confirmed the diagnosis of endometriosis. The patient underwent surgical excision of the lesions. Intraoperative localization was performed through ultrasonography. In our case, the diagnosis was essentially based on ultrasound scan. Computed tomography and magnetic resonance imaging were not performed. A high‐resolution ultrasound is a simple, inexpensive and safe method and is sufficient for indicating surgery. Furthermore, the use of intraoperative ultrasound allowed adequate margins of excision.