EURORAD ESR

Case 12190

Abdominal wall endometriosis

Author(s)
Lemmens P.1, Vanhoenacker F.M.1, 2, 3, Petré C.1, Vankelecom F.4, Van Dijck H.5, Spiessens T.6

1. Department of Radiology, AZ Sint-Maarten Mechelen-Duffel, Belgium
2. Department of Radiology, University Hospital Ghent, Belgium
3. Department of Radiology, University Hospital Antwerp, Belgium
4. Department of Gynecology, AZ Sint-Maarten Mechelen-Duffel, Belgium
5. Department of Pathology, AZ Sint-Maarten Mechelen-Duffel, Belgium
6. Department of General Surgery, AZ Sint-Maarten Mechelen-Duffel, Belgium
 
Patient
female, 36 year(s)
 
 
  • Figure 1
    Ultrasound

    Axial ultrasound image. Ill-defined hypoechoic lesion within the subcutaneous tissue (arrow), abutting the right rectus abdominis muscle. Note some increased power Doppler signal at the periphery of the lesion.

     
    Area of Interest: Abdominal wall; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Tissue characterisation;
     
     
  • Figure 2
    CT

    CT confirms an ill-defined hypodense lesion (arrow), abutting the right rectus abdominis muscle.

     
    Area of Interest: Abdominal wall; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Tissue characterisation;
     
     
  • Figure 3
    MRI
     

    Axial fat-suppressed T2-WI. The lesion is of high signal (arrow).

     
    Area of Interest: Abdominal wall; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Tissue characterisation;

    Axial T1-WI. The lesion is iso-intense to muscle (arrow).

     
    Area of Interest: Abdominal wall; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Tissue characterisation;

    Axial fat-suppressed T1-WI. The lesion is iso-intense to muscle (arrow).

     
    Area of Interest: Abdominal wall; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Tissue characterisation;

    Axial fat-suppressed T1-WI after administration of gadolinium contrast. There is marked enhancement of the lesion (arrow).

     
    Area of Interest: Abdominal wall; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Tissue characterisation;

    Sagittal fat-suppressed T1-WI after administration of gadolinium contrast. There is marked enhancement of the lesion (arrow). Notice the intimate relationship with the abdominal wall and surrounding stranding.

     
    Area of Interest: Abdominal wall; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Tissue characterisation;
     
     
Axial ultrasound image. Ill-defined hypoechoic lesion within the subcutaneous tissue (arrow), abutting the right rectus abdominis muscle. Note some increased power Doppler signal at the periphery of the lesion.
 
CT confirms an ill-defined hypodense lesion (arrow), abutting the right rectus abdominis muscle.
 
Axial fat-suppressed T2-WI. The lesion is of high signal (arrow).
 
Axial T1-WI. The lesion is iso-intense to muscle (arrow).
 
Axial fat-suppressed T1-WI. The lesion is iso-intense to muscle (arrow).
 
Axial fat-suppressed T1-WI after administration of gadolinium contrast. There is marked enhancement of the lesion (arrow).
 
Sagittal fat-suppressed T1-WI after administration of gadolinium contrast. There is marked enhancement of the lesion (arrow). Notice the intimate relationship with the abdominal wall and surrounding stranding.
 
 
 
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