Kocher Madison, Hardie Andrew, Schaefer Amanda, McLaren Thomas, Kovacs Mark
Department of Radiology, Medical University of South Carolina, Charleston, SC, USA.
J Radiol Case Rep. 2017 Dec 31;11(12):16-26. doi: 10.3941/jrcr.v11i12.3178. eCollection 2017 Dec.
Endometriomas can occur after any surgery where there is endometrial manipulation, and there are a number of reports of endometriomas developing in the abdominal wall at the site of the Pfannenstiel incision following Cesarean-section. Although this is ultimately a histopathologically-confirmed diagnosis, preoperative imaging including ultrasound, computed tomography, and magnetic resonance imaging may be helpful in the diagnosis and assessment. We report a pathology-confirmed case of Cesarean-section endometrioma with a classic, clinical presentation and imaging findings on computed tomography. A comprehensive literature review and discussion of the multi-modality imaging appearance of Cesarean-section endometrioma is also provided.
子宫内膜瘤可发生于任何涉及子宫内膜操作的手术后，有多项报告称剖宫产术后在耻骨联合上横切口部位的腹壁出现子宫内膜瘤。尽管最终需经组织病理学确诊，但包括超声、计算机断层扫描和磁共振成像在内的术前影像学检查可能有助于诊断和评估。我们报告一例经病理证实的剖宫产术后子宫内膜瘤病例，其具有典型的临床表现及计算机断层扫描影像学表现。本文还提供了对剖宫产术后子宫内膜瘤多模态影像学表现的全面文献综述及讨论。
