Ultrasound Imaging of Abdominal Wall Endometriosis: A Pictorial Review

Cocco, Giulio; Pizzi, Andrea Delli; Scioscia, Marco; Ricci, Vincenzo; Boccatonda, Andrea; Candeloro, Matteo; Tana, Marco; Balconi, Giuseppe; Romano, Marcello; Schiavone, Cosima

doi:10.3390/diagnostics11040609

Cited by 16 publications

(14 citation statements)

References 50 publications

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“…A spherical umbilical nodule in the dermal-epidermal layer and hypodermis, solid with varied echogenicity, most typically hypoechoic with an anechoic cystic component, is seen on ultrasound [8] . The margins are smudged or spiculated.…”

Section: Discussionmentioning

confidence: 99%

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Primary umbilical endometriosis: case report and literature review of an unusual cause of catamenial umbilical pain

Sahli

Boularab

Mandour

et al. 2022

Radiology Case Reports

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Section: Discussionmentioning

confidence: 99%

“…The margins are smudged or spiculated. Color Doppler can be used to detect intralesional vascular patches in some cases [8] .…”

Section: Discussionmentioning

confidence: 99%

Primary umbilical endometriosis: case report and literature review of an unusual cause of catamenial umbilical pain

Sahli

Boularab

Mandour

et al. 2022

Radiology Case Reports

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“…17B) are common differential diagnoses for palpable inguinal masses. Endometriosis (presence of endometrial tissue outside the uterus) can manifest as a palpable mass in the inguinal region [19] but is rare. Such extra-pelvic endometrial tissues can be found in the cutaneous, subcutaneous, and intramuscular layers.…”

Section: Differential Diagnosismentioning

confidence: 99%

Ultrasound imaging for inguinal hernia: a pictorial review

Chang

Lin

et al. 2022

Ultrasonography

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Inguinal hernia is the most prevalent type of abdominal wall hernia. Indirect inguinal hernia is twice as common as direct inguinal hernia. Computed tomography and magnetic resonance imaging can be used for the evaluation of inguinal hernia, but these modalities are greatly limited by their cost and availability. Ultrasound has emerged as the most convenient imaging tool for diagnosing inguinal hernia due to its advantages such as portability and absence of radiation. The present pictorial review aims to elaborate the use of ultrasound in the evaluation of inguinal hernia with particular emphasis on the regional anatomy, relevant scanning tips, identification of subtypes, application in postoperative follow-up, and diagnosis of pathologies mimicking inguinal hernia.

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“…Inguinal hernias are classified as direct and indirect based on the relationship of the herniation sac with the inguinal canal [ 1 ], while both types can involve structures from the intraperitoneal or extraperitoneal space [ 2 ]. A direct hernia is formed when the hernia sac protrudes directly through the posterior wall of the inguinal canal [ 3 , 4 ], while in the indirect type, the sac follows the inguinal canal in conjunction with the spermatic cord after entering through the internal inguinal ring [ 5 , 6 ]. The prevalence of inguinal hernias accounts for 1.7% of the general population, with an increasing 4% in people older than 45 [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Difficulties in Diagnosing Extraperitoneal Ureteroinguinal Hernias: A Review of the Literature and Clinical Experience of a Rare Encounter in Acute Surgical Care Settings

et al. 2022

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Although inguinal hernia repair is one of the most common surgical procedures, finding a retroperitoneal structure, such as the ureter, is a rather rare occurrence. Ureteroinguinal hernias may arise in the presence or absence of obstructive uropathy, the latter raising difficulties in diagnosis for the general surgeon performing a regular inguinal hernia surgery. This study aims to collect the relevant literature describing the diagnosis and management of ureteroinguinal hernias and update it with a case encountered in our clinic. The following study was reported following the SCARE guidelines. The relevant literature describes less than 150 cases of ureteroinguinal hernias overall, considering the 1.7% prevalence of inguinal hernias in the general population. With only 20% of these hernias being described as extraperitoneal, such an encounter becomes an extremely rare finding. Our clinical experience brings a case of a 75-year-old male with frequent urinary tract infections and a large irreducible inguinoscrotal hernia of about 20/12 cm located at the right scrotum. The patient underwent an open inguinal hernia repair technique under general anesthesia, incidentally finding an extraperitoneal ureteral herniation. Segmental ureterectomy was performed with uneventful recovery. Intraoperatively, finding an incidental ureteroinguinal hernia raises concerns about probable urinary tract complications during regular hernia repair surgery and whether the diagnosis is likely to happen prior to surgical intervention. Although imaging is rarely indicated in inguinal hernias, the case reports show that a pelvic CT scan with urography in symptomatic patients with urinary symptoms will provide accurate confirmation of the diagnosis. The relevant literature is limited due to the rarity of respective cases, thus making standardized management of such cases unlikely.

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Ultrasound Imaging of Abdominal Wall Endometriosis: A Pictorial Review

Cited by 16 publications

References 50 publications

Primary umbilical endometriosis: case report and literature review of an unusual cause of catamenial umbilical pain

Primary umbilical endometriosis: case report and literature review of an unusual cause of catamenial umbilical pain

Ultrasound imaging for inguinal hernia: a pictorial review

Difficulties in Diagnosing Extraperitoneal Ureteroinguinal Hernias: A Review of the Literature and Clinical Experience of a Rare Encounter in Acute Surgical Care Settings

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