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Abdominal wall endometriosis: sonographic diagnosis
1South East Auckland Radiology, Papatoetoe, Auckland, New Zealand.
Australasian Radiology
|May 1, 1995
Summary
Abdominal wall endometriosis (AWE) can occur in C-section scars. If you have unexplained pelvic pain after a C-section, doctors should examine your abdominal wall for AWE.
Area of Science:
- Gynecology
- Surgical Pathology
Background:
- Abdominal wall endometriosis (AWE) is a condition where endometrial tissue grows within the abdominal wall, frequently at surgical incision sites.
- Caesarean sections are a common cause of surgical scars where AWE can develop.
Purpose of the Study:
- To highlight the importance of considering AWE in the differential diagnosis of lower abdominal and pelvic pain in women with a history of Caesarean section.
- To emphasize the need for thorough physical examination of the abdominal wall in these patients.
Main Methods:
- Clinical case review and diagnostic considerations.
- Physical examination of the abdominal wall, focusing on surgical scars.
Main Results:
- AWE is a potential cause of chronic lower abdominal and pelvic pain in women post-Caesarean section.
- Palpation of the abdominal wall, particularly C-section scars, can aid in the diagnosis of AWE.
Conclusions:
- Abdominal wall examination is crucial for diagnosing AWE in women presenting with unexplained pain after Caesarean section.
- Early identification and diagnosis of AWE can lead to timely and appropriate management.