Magnetic Resonance Imaging Guided High Intensity Focused Ultrasound is a Non-Invasive Treatment Modality for Patients with Abdominal Wall Endometriosis

Publication date: Available online 30 March 2018 Source:Journal of Minimally Invasive Gynecology Author(s): Bertine L. Stehouwer, Manon N.G. Braat, Sebastiaan Veersema Two females (29 and 35 years of age) presented with an abdominal wall mass in close proximity to a caesarean scar. The main complaints consisted of pain at the site of the mass, with catamenial exacerbations. Clinical and imaging findings were consistent with abdominal wall endometriosis in both cases. First, hormonal treatment was started, which proved unsuccessful. Typically at this point the proposed treatment would be wide-surgical excision. Alternatively, MR-HIFU treatment was offered with the goal to diminish pain complaints non-invasively. Upon treatment both patients' complaints diminished, although some cyclic pain persisted. Overall, these cases show that MR-HIFU can be used as a non-invasive treatment method to reduce complaints in patients with abdominal wall endometriosis.
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research