Three-dimensional sonographic diagnosis of abdominal wall endometriosis: a useful tool?

Objective: To report the usefulness of three-dimensional (3D) ultrasonography for the assessment of parietal endometriosis.

Design: Case report.

Setting: Academic research hospital.

Patient(s): A 35-year-old woman with a noncyclic, painful abdominal nodule near a caesarean delivery scar.

Intervention(s): 3D ultrasonography and wide surgical resection with healthy margins.

Main Outcome Measure(s): 3D ultrasonographic assessment of the endometriotic nodule.

Result(s): We found that 3D ultrasonography offered a more specific description of parietal endometriosis with irregular and spiculated margins and depth infiltration as well as provided preoperative evaluation of volume measurements.

Conclusion(s): Three-dimensional ultrasonography is a useful, noninvasive tool in extrapelvic endometriosis.