Endometriomas Multiples
Femenina 34 años edad con infertilidad primaria e historia de menstruaciones muy dolorosas.Fue diagnosticada con endometriosis vía resonancia magnética. Intervenida para extirpar los focos endometriosicos detectados , viene sufriendo de intensos dolores abdominales desde entonces. La sonografia de pared abdominal con transductor de foco corto ( 10 MHz ) demuestra la presencia de múltiples focos de lesiones hipoecogenicas, irregulares en sus limites, localizados en tejido celular subcutáneo en fosa iliaca derecha ( 2 imágenes de aprox: 9,1 X 4,8 mm y 10,0 X 4,2 mm respectivamente ), en lado derecho de la región infraumbilical, a una profundidad de 2,31 cm desde la piel, lesión similar a la anterior de aprox: 4,27 X 2,05 cm. En tercio externo,lado izquierdo de la cicatriz quirúrgica suprapubica, imagen similar a las anteriores de aprox: 1,61 X 1,51 cm, a una profundidad aprox: de 1,81 cm desde la piel. En el tercio medio , hacia la izquierda de la región infraumbilical ,otra lesión similar de 1,52 X 1,17 cm. Se exploran todas las lesiones con Doppler Color sin apreciarse aumento del flujo en las lesiones. La Elastografia demuestra patrón de color con score 2 de Ueno, compatible por tanto, con lesiones probablemente benignas. La aspiración- proyecto de la paciente es conseguir embarazo vía inseminación ¨in vitro ¨ Se concluye con el diagnostico de Endometriomas múltiples de pared abdominal por siembra post- cirugía.
Female 34 years old with primary infertility and a history of very painful menstruation. She was diagnosed with endometriosis via magnetic resonance. Intervened to remove the detected endometriosis foci, she has been suffering from intense abdominal pain since then. Abdominal wall sonography with a short focus transducer (10 MHz) demonstrates the presence of multiple foci of hypoechogenic lesions, irregular in their limits, located in subcutaneous cellular tissue in the right iliac fossa (2 images approx: 9.1 X 4, 8 mm and 10.0 X 4.2 mm respectively), on the right side of the infra-umbilical region, at a depth of 2.31 cm from the skin, lesion similar to the previous one of approx: 4.27 X 2.05 cm. In the external third, the left side of the suprapubic surgical scar, images similar to the previous ones of approx: 1.61 X 1.51 cm, at a depth of approximately 1.81 cm from the skin. In the middle third, to the left of the infra-umbilical region, another similar lesion of 1.52 X 1.17 cm. All Doppler Color lesions were examined without increasing the flow in the lesions. The Elastography shows a color pattern with Ueno score 2, compatible, therefore, with probably benign lesions. The aspiration-project of the patient is to achieve pregnancy via insemination ¨in Vitro ¨ It concludes with the diagnosis of multiple endometriomas of the abdominal wall by seeding post-surgery.
Multiple Endometriomas
Female 34 years old with primary infertility and a history of very painful menstruation. She was diagnosed with endometriosis via magnetic resonance. Intervened to remove the detected endometriosis foci, she has been suffering from intense abdominal pain since then. Abdominal wall sonography with a short focus transducer (10 MHz) demonstrates the presence of multiple foci of hypoechogenic lesions, irregular in their limits, located in subcutaneous cellular tissue in the right iliac fossa (2 images approx: 9.1 X 4, 8 mm and 10.0 X 4.2 mm respectively), on the right side of the infra-umbilical region, at a depth of 2.31 cm from the skin, lesion similar to the previous one of approx: 4.27 X 2.05 cm. In the external third, the left side of the suprapubic surgical scar, images similar to the previous ones of approx: 1.61 X 1.51 cm, at a depth of approximately 1.81 cm from the skin. In the middle third, to the left of the infra-umbilical region, another similar lesion of 1.52 X 1.17 cm. All Doppler Color lesions were examined without increasing the flow in the lesions. The Elastography shows a color pattern with Ueno score 2, compatible, therefore, with probably benign lesions. The aspiration-project of the patient is to achieve pregnancy via insemination ¨in Vitro ¨ It concludes with the diagnosis of multiple endometriomas of the abdominal wall by seeding post-surgery.
