| Subcutaneous abdominal wall masses: radiological reasoning. | |
| | |
MedLine Citation:
|
PMID: 22268204 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
OBJECTIVE: A 36-year-old woman presented to her primary care physician with right lower abdominal pain. Her physician subsequently requested a CT to rule out appendicitis. Contrast-enhanced CT was performed and revealed no evidence of appendicitis but showed two subcutaneous ovoid soft-tissue masses anterior to the rectus sheath in the upper pelvis. Pelvic MRI confirmed the two masses, which showed mild enhancement. The objective of this article is to discuss a diagnostic approach to subcutaneous soft-tissue masses in the abdominal wall. Diagnosis was endometriosis of the abdominal wall. CONCLUSION: Integrating salient imaging findings with clinical history is crucial when approaching the diagnosis of subcutaneous soft-tissue masses. The diagnosis of endometriosis should be entertained when soft-tissue masses are seen in the distribution of a cesarean section scar in a woman of reproductive age. Pain, particularly with a cyclic pattern, is highly suggestive of endometriosis. If endometriosis is suspected on CT or ultrasound, MRI can be performed for further evaluation. Definitive diagnosis is made with biopsy. Because subcutaneous nodules are so amenable percutaneous biopsy, imaging features, although of interest, are somewhat ancillary to the diagnostic workup. |
| | |
Authors:
|
Lauren Stein; Khaled M Elsayes; Nicolaus Wagner-Bartak |
Related Documents
:
|
21203764 - Anatomy of the human nucleus accumbens: a combined morphometric study. 21339394 - Early prediction of postmeningitic hearing loss in children using magnetic resonance im... 7622684 - Primary adenoid cystic carcinoma of the cervical trachea mimicking thyroid tumor: ct ev... 17465864 - Enhanced scintigraphic visualization of thyroglossal duct remnant during hypothyroidism... 8319064 - Accurate measurement of surface areas of anatomical structures by computer-assisted tri... 2398154 - "pseudocoarctation" of the aorta: pitfall on cine mr imaging. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: AJR. American journal of roentgenology Volume: 198 ISSN: 1546-3141 ISO Abbreviation: AJR Am J Roentgenol Publication Date: 2012 Feb |
Date Detail:
|
Created Date: 2012-01-23 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 7708173 Medline TA: AJR Am J Roentgenol Country: United States |
Other Details:
|
Languages: eng Pagination: W146-51 Citation Subset: AIM; IM |
Affiliation:
|
Department of Radiology, University of Michigan Health System, Ann Arbor, MI. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Risk of malignancy when microscopic radial scars and microscopic papillomas are found at percutaneou...
Next Document: Nonthrombotic pulmonary embolism.