Abstract：
OBJECTIVE:The aim of this study is to review the characteristics, intraoperative and radiological findings of abdominal wall endometriosis (AWE). METHODS:This retrospective observational cohort study was executed through analysis of the medical records of patients who underwent excision of AWE between January 2000 and June 2017. All the diagnoses were confirmed pathologically. Characteristics, intraoperative and radiological findings of patients with AWE were and analyzed. RESULTS:Each of the 20 patients had a history of at least one prior cesarean section. The main presenting symptoms were pain (70%). Ultrasonography and/or magnetic resonance imaging was performed in 95% and 45 % of the patients, respectively. One patient (5%) was investigated by 18 Fluorodeoxyglucose positron emission tomography - computed tomography. The preoperative radiological diagnosis was correcting in 55 % of the cases. The mean diameter of the masses was 4.7 ± 1.53 cm. Recurrence was found only in one patient during 36-month follow-up. DISCUSSION:Meticulous anamnesis, accurate clinical examination and proper imaging studies, are important guides for diagnosis. CONCLUSION:AWE should be kept in mind when pain or mass is detected on the abdominal wall of women who have cesarean section history. KEY WORDS:Abdominal wall endometriosis, Cesarean section, Radiology, Scar endometriosis. :Si tratta di uno studio retrospettivo osservazionale finalizzato a riconsiderare le caratteristiche, gli aspetti radiologici ed intraoperatori della di endometriosi della parete addominale (AWE), sulla base delle cartelle cliniche di pazienti sottoposte ad exeresi chirurgica della lesione nel periodo compreso tra Gennaio 2000 e Giugno 2017. La diagnosi risulta confermata per tutte con l’anatomia patologica, e sono state analizzate i rilievi radiologici ed i reperti intraoperatori. Ciascuna delle 20 pazienti della casistica presentava una storia di almeno un precedente taglio cesareo, ed il principale sintomo lamentato (70%) era il dolore. Lo studio diagnostico si è basato sugli ultrasuoni nel 95% dei casi e sulla RMN nel 45%. Una paziente (5%) è stata studiata con la PET mediante 18 Fluorodeoxyglucose. La diagnosi radiologica preoperatoria è risultata corretta nel 55% dei casi. Il diametro medio della massa era di 4.7 ± 1.53 cm. Si è registrata una sola recidiva in una paziente lungo un periodo di controllo di 36 mesi. Guida essenziale per la diagnosi solo l’anamnesi accurata, un attento esame clinico ed adeguate indagini strumentali per imaging. L’endometriosi della parete addominale va sospettata in presenza di una massa nella parete addominale o dolore in donne già sottoposte a taglio cesareo.
journal_name
Ann Ital Chirjournal_title
Annali italiani di chirurgiaauthors
Hocaoglu M,Turgut A,Ozdamar O,Aslan A,Demirer S,Usta A,Ekdeniz E,Karateke Asubject
Has Abstractpub_date
2018-01-01 00:00:00pages
425-430eissn
0003-469Xissn
2239-253Xpii
S0003469X18028397journal_volume
89pub_type
杂志文章abstract：:Dear Editor, We read with great interest the paper entitled "Laparoscopic organ-preserving gastric resection improves the quality of life in stromal tumor patients: an observational study with 23 patients" written by Ozcan et al. in Ann Ital Chir. 2018 Oct 23;7 1. We agree with the Authors that preserving the stomach ...
journal_title：Annali italiani di chirurgia
pub_type： 评论,信件
doi：
更新日期：2019-01-01 00:00:00
abstract：INTRODUCTION:Situs Viscerum Inversus totalis (SIT) is a rare anomaly with genetic predisposition, in which organs are translated, completely or partially, on the opposite side of the body. Generally there are no organic dysfunctions. Situs Inversus can cause difficulties in the diagnostic and therapeutic management of ...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2012-01-01 00:00:00
abstract：:Venous leg ulcer is the most frequent cause of trophic lesions of the limbs in patients with chronic venous insufficiency. Appropriate management of cutaneous vascular lesions is based on systemic, vascular and local assessment. The Authors used a protease-modulating matrix in 126 patients suffering from venous leg ul...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2009-09-01 00:00:00
abstract：INTRODUCTION:Penetrating injury of the skull and brain is relatively uncommon, representing about 0.4% of head injuries. In this paper the Authors describe a case of patient victim of transorbital stab with brain injury with good recovery and review the literature about cranial stab wound. CASE REPORT:A 23-year-old ma...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：2009-11-01 00:00:00
abstract：INTRODUCTION:Coverage of soft tissue defects in the lower leg is often made by use of free flap, also because of the improving of anaesthesiology techniques in the last decades. However, there are disadvantages in the use of free flaps like the need for a remote donor site, increased operative time, use of a major vess...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2007-07-01 00:00:00
abstract：:Chronic pancreatitis is a dynamic disease characterized on one side by a progressive destruction of the pancreatic parenchyma and change in the architecture of the gland and on the other by the impairment of its function. Diagnosis of chronic pancreatitis may be a quite easy or a very difficult attempt according to th...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：2000-01-01 00:00:00
abstract：AIM OF THE STUDY:The Authors intend to guide the choice of surgical treatment for mammary asymmetry, according to specific form of asymmetry. MATERIAL AND METHODS:Possible types of symmetryzation surgery are listed. First Author's personal technique is described and some clinical cases are presented. DISCUSSION:Regar...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2007-05-01 00:00:00
abstract：:In the second half of this century, some important changes characterized the peptic ulcer history. The overall incidence of ulcer disease markedly decreased, with some differences in the various geographic areas and according to socioeconomic development of population. Peptic ulcer seems now more frequent in women and...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：1989-01-01 00:00:00
abstract：:The nonparasitic cysts of the spleen are uncommon and their pathogenesis has not been precisely determined. Often asymptomatic, the cysts are recognised during an investigation of the abdomen for other pathological conditions; if present, the symptoms are not specific and mild. The authors report two cases of non para...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：1998-07-01 00:00:00
abstract：BACKGROUND:Psoriasis is a chronic inflammatory skin disease with an incidence of 1-3%. Psoriasis usually occurs in the scalp, knee, elbow, sacral region and joints. The nipple-areola complex involvement is rarely encountered in the literature. CASE REPORT:31-year-old female patient, who presented at the dermatology ou...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2019-11-10 00:00:00
abstract：:Personal experience in the treatment of acute cholecystitis with percutaneous cholecystostomy in high risk patients and in elderly patients is reported. Between January 1989 and November 1990, 28 patients affected by acute cholecystitis were treated with percutaneous cholecystostomy at Emergency Surgery Department, Ve...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：1991-01-01 00:00:00
abstract：:In the last ten years etiology's frequency of non-neoblastic bowel occlusions has changed. Headway against occlusions percentage decreasing due to post-operative stenosis, hernial strangulation, adhesional bridles, etc., mechanical ileus observations increase in percentage round about 20%, as colon acquired diverticul...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2003-07-01 00:00:00
abstract：OBJECTIVE:Carcinoma of the rectal colon begins as a small neoplastic polyp which gradually increases in size and, after passing through various degrees of dysplasia, develops into an overtly malignant carcinoma. Clinical experience suggests that patients may be divided into subgroups based on the aggressivity of the tu...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2001-05-01 00:00:00
abstract：:A case of isolated mammary metastasis from surgically untreated urothelial vesical carcinoma is discussed. An integrated chemo-radiotherapeutical treatment had been planned, due to bad general condition; after this, an optimal subjective benefit and good objective response (reduction in lesion diameter < 50%, MR) were...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：1993-09-01 00:00:00
abstract：AIM:The prognosis of locally advanced gastric cancer (T3-T4) is bad. The presence of lymph nodes (N3-N4) or haematogenous metastases (liver, lung) gets worse the evolution; principally the hepatic malignancies are cause of scarce survival. The possible use of a palliative treatment as radiofrequency ablation (the good ...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2005-01-01 00:00:00
abstract：AIM:This study analyzes risk factors implicated in postoperative complications and mortality after anterior resection in rectal cancer. MATERIAL AND METHODS:A total number of 378 patients with anterior rectal resection, diagnosed with rectal cancer and admitted at the IIIrd Surgery Clinic, "Octavian Fodor" Regional In...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2017-01-01 00:00:00
abstract：:A 49-year-old man admitted with a 3 weeks history of stomachache and without any cardiac symptoms and diagnosed as pseudoaneurysm of the left ventricle is reported. The repair was performed with the aid of cardiopulmonary bypass, defect was repaired with Gore-tex patch and myocardial tissues were approximated and clos...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2010-01-01 00:00:00
abstract：:Pitfalls in diagnosis and treatment of adrenal diseases are frequent and not properly reported in literature. Among more than 51 adrenalectomies for incidentaloma performed during a l0 years period, we present 2 cases of diagnostic errors that a very formative opportunity in the approach to adrenal diseases. A precise...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2010-09-01 00:00:00
abstract：BACKGROUND:Gastro Intestinal Stromal Tumors (GISTs) are defined as mesenchymal tumours that develop within the wall of the gastrointestinal tract. Surgery is the treatment of choice and may be indicated for locally advanced or previously non resectable disease after a favorable response to preoperative therapy with tyr...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2016-01-01 00:00:00
abstract：:Abdominoperineal resection for rectal cancer are being performed with decreasing frequency in favour of sphincter-saving resections. It remains to be demonstrated that sphincter preservation has not resulted in compromised local disease control and survival. For this purpose 342 patients with rectal carcinoma have bee...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：1992-05-01 00:00:00
abstract：:In both Crohn's disease and ulcerative colitis, colorectal cancer (CRC) secondary prevention basically relies on the histology detection of dysplasia. In inflammatory bowel diseases (IBD) setting, dysplasia identifies the subgroup of patients eligible to a (more) strict surveillance program (or prophylactic colectomy)...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2011-01-01 00:00:00
abstract：AIM:Endometriosis is not a well-known disease and sometimes its rare onset is a pathogenetic, diagnostic and therapeutic problem. The Canal of Nuck is an embryonal rest of the parietal peritoneum that accompanies the round ligament through the inguinal canal. The perviousness of the canal of Nuck could explain the path...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2014-12-29 00:00:00
abstract：:Thyroid surgery is a clean procedure and therefore antibiotic prophylaxis is not routinely recommended by most international guidelines. However, antibiotics are often used in clinical practice. We enrolled 2926 patients who performed a thyroid surgical operation between the years 2009 and 2011 in the 38 centers of en...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,多中心研究
doi：
更新日期：2014-01-01 00:00:00
abstract：:Ganglioneuroblastoma, nodular (GNBn) is a subtype of neuroblastic tumors. This is a rare malignancy typically affecting young children. Few cases are reported in adolescents and adults. The prognosis is related to the surgical excision radicality. Hereby we present a case of a young male patient age 13 from the Horn ...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2012-11-01 00:00:00
abstract：:The diagnosis of incidental thyroid carcinoma in patients submitted to thyroidectomy for a benign disease is quite frequent. A retrospective analysis was performed on 240 patients submitted to surgical intervention in order to establish the incidence of the carcinoma. One hundred sixty five patients (68.75%) were affe...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：2010-05-01 00:00:00
abstract：BACKGROUND:Sentinel node biopsy is a minimally invasive technique alternative to routine axillary dissection in breast cancer staging. This technique selects women with positive nodes who may benefit from axillary dissection, avoiding unnecessary operations in negative node biopsies. AIMS:In this article we report a 5...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2007-09-01 00:00:00
abstract：AIM:Research of a starting point to debate about the possibility of identifying a unique sign of previous DVT. MATERIAL OF STUDY:A retrospective study involving 202 outpatients with venous insufficiency of the lower limbs (CEAP classes C 4/6), classified according to the affected venous district. Patients positive for...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2015-01-01 00:00:00
abstract：UNLABELLED:Ectopic thyroid goiter accounts approximately for 1% of all substernal goiters and for 10-15% of all mediastinal masses. Sternotomy is generally accepted as the most adequate approach for the removal of ectopic thyroid goiters of the anterior mediastinum. We report two cases of mediastinal ectopic goiter rem...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2014-05-01 00:00:00
abstract：AIM:To evaluate three-port colectomy as an alternative reduced-port laparoscopy technique in colonic surgery. MATERIAL OF STUDY:Retrospective study carried out through the analysis of 32 consecutive patients that underwent alternatively to a three ports left colectomy or a conventional laparoscopic colectomy for colon...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2016-01-01 00:00:00
abstract：:Intracranial epidermoid cysts are estimated to constitute 0.2 to 1.8% of brain tumours (4) and they can be divided into four categories describing their anatomic origin and frequent primary location: retro-sellar-cerebellopontine angle, parasellar-sylvian fissure, suprasellar-chiasmatic and basilar-posterior fossa. We...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2008-11-01 00:00:00
