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：:A case of acute colonic obstruction in an elderly patient is presented, with a brief discussion about peculiar aspects to pseudo-obstruction and particularly chronic idiopathic intestinal pseudo-obstruction (CIIP), in which it was classified by pathologists. Clinical and therapeutic implications of this classification...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2019-05-05 00:00:00
abstract：INTRODUCTION:Prognosis of colon cancer is worse if complications are present at the moment of diagnosis. The high mortality rate with surgery in emergency in such cases needs a careful reflection about the best suitable operation to perform. MATERIALS AND METHODS:107 consecutive patients observed along a 9 year-period...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2003-05-01 00:00:00
abstract：:C. U. T (Chirurgia d'Urgenza Tetraedrica = Tetrahedron Urgent Surgery) is the Data Base programmed and utilized since November 2004 in a "Urgent Surgery Unit" at high turnover of patients and surgeons. The aim of CU. T was to contribute in the management of delivery risk, to facilitate medical work, to improve assiste...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2007-03-01 00:00:00
abstract：AIM:Poland syndrome is a constellation of rare congenital anomalies of the chest wall, with or without alterations to the ipsilateral superior extremity. Actually Foucras' classification is commonly used to choose the most appropriate surgical treatment, but often only a radiological classification proves unsatisfactor...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：2014-05-01 00:00:00
abstract：BACKGROUND AND AIMS:vertical banded gastroplasty (GPV) is the most frequently performed restrictive procedure for morbid obesity, but long-term follow-up is almost nonexistent. A poor outcome after GPV and a low quality of life has been reported. The aim of the study was to determine long-term outcome after 5 years fol...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2003-11-01 00:00:00
abstract：AIM:We propose our experience in soft tissue reconstruction in Hemifacial microsomia using a free fascioadiposal flap. MATERIAL OF STUDY:Hemifacial microsomia (HFM) is a congenital disorder characterized by craniofacial malformation of one or both sides of the lower face. A 18-year-old female presented with hemifacial...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2017-01-01 00:00:00
abstract：:Primary torsion of the greater omentum is an uncommon cause of acute abdomen and frequently it is misunderstood. In fact, from the analysis of the literature the authors can evict that the preoperative diagnosis is generally wrong. The authors write about the subject and they describe four cases come to their observat...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：1993-01-01 00:00:00
abstract：:Gastric hyperplastic polyps are often asymptomatic and are found incidentally at upper endoscopy performed for unrelated reasons. Although they are considered a benign lesion, all symptomatic polyps should be removed for a more reliable histological diagnosis, resolution of symptoms and to prevent potential malignant ...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2011-07-01 00:00:00
abstract：:Breast cancer is a rare, but frequently hidden pathology. A woman, 36 years old, during the early months of pregnancy found a little tumor in her right breast. A fine needle biopsy was negative for cancer. Despite this, the tumor rose and two months after delivery (the patient breast-fed her daughter for a month), she...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2002-05-01 00:00:00
abstract：:This case report describes an acute colonic diverticular perforation occurred to a multiple myeloma patient, taking corticosteroid and morphine therapy, revealed by a subcutaneous emphysema of upper chest and right abdomen as initial presentation. Sigmoid diverticulitis with perforation and generalized peritonitis is ...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2002-11-01 00:00:00
abstract：OBJECTIVE:Hyperthyroidism is a group of diseases with many different etiologies and clinical manifestations. The most common causes include toxic multi-nodular goiter, Graves' disease and toxic adenoma. The prevalence of thyroid cancer developing in patients with hyperthyroidism has gradually increased in recent years....
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2020-01-01 00:00:00
abstract：BACKGROUND:The treatment of acute diverticulitis is a matter of debate and has undergone significant changes. Currently the main focus of surgical treatment is a more conservative and less invasive management. AIMS AND METHODS:To focus the role of surgery in the treatment of acute diverticulitis, the Authors have cond...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：2019-01-01 00:00:00
abstract：OBJECTIVE:Sinonasal adenocarcinoma is a tumor typically associated with exposure to occupational carcinogens. The International Agency for Research on Cancer (IARC) published several data in order to classify carcinogenic power of physical-chemical agents as far as sinonasal cancer is concerned. MATERIALS AND METHODS:...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：2016-07-29 00:00:00
abstract：:Gas within the wall of the stomach (emphysematous gastritis) is a rare condition associated with systemic toxicity and very often mortal end. The etiology includes firstly infections with gas-foaming organisms, other predisposing causes are the ingestion of corrosive substances, alcohol abuse and immunosuppression. Bu...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2005-05-01 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：:Curative surgical treatment of esophageal cancer involves the complete macroscopic and microscopic removal of the tumor (R0-resection). Only by these means the prognosis can be improved. The treatment of choice for squamous cell cancer is transthoracic en-bloc esophagectomy. Preoperative risk analysis of the patient a...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：1992-01-01 00:00:00
abstract：BACKGROUND:Diathermy haemorrhoidectomy is an effective technique for the management of 2nd, 3rd and 4th degree haemorrhoids. The anal cushions are excised by use of diathermy without ligature of the vascular pedicles. The aim of the present study is to evaluate the efficacy and tolerability of this technique. METHODS:...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2006-03-01 00:00:00
abstract：INTRODUCTION:We report a case of correction of an end colostomy prolapse with Delorme technique in an advanced stage oncologic patient to emphasize the clinical implications and advantages of this procedure. CASE REPORT:A 51-year-old male patient with a stage IV rectal adenocarcinoma underwent laparoscopy for a pallia...
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 authors examine the value of different imaging techniques (CT, MRI) in the diagnosis of the involvement of the mesenteric-portal vessels in the pancreatic cancer. In 20 jaundiced patients they obtained in all cases a correct diagnosis about the etiology of the jaundice. The correspondence of the preoperative imagi...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2002-07-01 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：: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
abstract：:The authors report the results of a prospective study on 204 patients (1980-1993) affected by early infiltrating breast cancer (size pounds 2 cm) as a part of a surgical series of 608 cases. 53 cases who underwent QUART (25.9%) and 151 cases (74.1%) who underwent mastectomy modified according to Patey have been collec...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：1997-03-01 00:00:00
abstract：BACKGROUND:JGCA Gastric Cancer Treatment Guidelines (2004) include Laparoscopic Assisted Distal Gastrectomy (LADG) within the chapter of modified surgery. A metanalysis published in 2010 shows that LADG is significantly superior to Open Distal Gastrectomy (ODG) if comparing short term outcomes. Oncologic results prove ...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2012-05-01 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：:Carotid restenosis is defined as a new > 50% diameter-reducing lesion present in sites of previous surgery. The clinical aspects of this complication are strongly connected with their anatomopathologic evolution: fibromuscular hyperplasia in early recurrent disease, atherosclerotic degeneration in the later lesions. R...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：1997-07-01 00:00:00
abstract：:The authors report a case of lower gastrointestinal hemorrhage in a 69-year-old male, in which the sequence colonoscopy-angiography identified the source of bleeding as a rare Angiodysplasia (AD) of the rectum. Such vascular abnormalities are one of the most common causes of major lower gastrointestinal tract bleeding...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：2000-09-01 00:00:00
abstract：AIM:Reporting our experience in the treatment of duodenal neoplasms. MATERIAL OF STUDY:Management and treatment of four patients presenting a duodenal neoplasm. RESULTS:Three out of four patients died after surgery for dehiscence and/or bleeding. One, who underwent palliative bypass, died after four months from unkno...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2014-07-01 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：OBJECTIVES:The objective of our study was to determine the predictive factors of their occurrence during conservative surgical treatment of the hepatic hydatid cyst (HHC). PATIENTS AND METHODS:We carried out a retrospective review of patients who had undergone conservative surgical treatment of the HHC during 6 years....
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2019-01-01 00:00:00
abstract：BACKGROUND:A high rate of association between neuroendocrine tumors (NETs) and secondary primary malignancy (SPM) has been described in literature and this association can occur either in a synchronous or a metachronous presentation. A wide range of hypothesis has been postulated to explain the high rate of association...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：2017-10-04 00:00:00
