High intensity focused ultrasound for large abdominal wall endometriosis: a case report

被引:2
作者
Dai, Yu [1 ]
Luo, Huang-jin [2 ]
Peng, Yan [1 ]
Liu, Bing-guang [1 ]
Jin, Ping [1 ,2 ]
机构
[1] Southern Med Univ, Affiliated Shenzhen Matern & Child Healthcare Hos, Guangzhou 518047, Guangdong, Peoples R China
[2] Southern Med Univ, Shenzhen Matern & Child Healthcare Hosp, Sch Clin Med 1, Shenzhen 518047, Guangdong, Peoples R China
关键词
Abdominal wall endometriosis; high intensity focused ultrasound; mesh implantation; abdominal mass; safety; MANAGEMENT; HIFU;
D O I
10.1080/02656736.2022.2126902
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Background Abdominal wall endometriosis(AWE?is an unusual extra-pelvic endometriosis. Currently, multiple treatment modalities are available, but no clear guidelines exist for the management of large AWE. Materials and methods We present a 36-year-old female patient with a large AWE lesion who underwent cesarean section due to abnormal fetal position 8 years ago. The mass lesion of AWE located in rectus muscle fascia and rectus muscle with a size of 61 x 25 x 49mm. Results HIFU treatment was completed in one session. One day post-HIFU MRI showed the mass was completely ablated. After HIFU treatment, the cyclical abdominal pain disappeared. The mass lesion shrank during follow-up period and disappeared in 1 year after HIFU. No complication was observed after HIFU. Conclusion Surgical resection of AWE remains the standard of care. In patients with large AWE lesion located in rectus muscle fascia and rectus muscle where the muscle and fascia must be excised, HIFU treatment should be considered to avoid mesh implantation.
引用
收藏
页码:1276 / 1282
页数:7
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