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.