New surgical technique of laparoscopic resection of adenomyosis under real-time intraoperative ultrasound elastography guidance: A case report.
Abdominal surgery
Adenomyosis
Elastography
Fertility preservation
Gynecology
Laparoscopic surgery
Medical imaging
Pregnancy
Reproductive system
Ultrasonography
Journal
Heliyon
ISSN: 2405-8440
Titre abrégé: Heliyon
Pays: England
ID NLM: 101672560
Informations de publication
Date de publication:
Aug 2020
Aug 2020
Historique:
received:
30
05
2020
revised:
11
07
2020
accepted:
31
07
2020
entrez:
15
8
2020
pubmed:
15
8
2020
medline:
15
8
2020
Statut:
epublish
Résumé
Detecting adenomyosis in the myometrium is a challenge since it is infiltrative with ill-defined margins and can be often confused with uterine fibroids. However, recent advances, such as ultrasound elastography, have enabled its detection in the myometrium, thereby facilitating its accurate diagnosis. We report our experience of performing complete laparoscopic resection of adenomyosis under real-time ultrasound elastography guidance in a 32-year-old woman who underwent laparoscopic adenomyomectomy following severe dysmenorrhea and heavy menstrual bleeding. Real-time ultrasound elastography was also utilized intraoperatively to detect residual adenomyosis. Complete adenomyosis resection and uterine reconstruction were achieved. Follow-up magnetic resonance imaging was conducted to confirm successful uterine reconstruction. The patient recovered rapidly with no complications. Intraoperative elastography-guided laparoscopic adenomyomectomy was feasible and effective in completely removing adenomyotic lesions.
Identifiants
pubmed: 32793836
doi: 10.1016/j.heliyon.2020.e04628
pii: S2405-8440(20)31472-9
pii: e04628
pmc: PMC7408330
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e04628Commentaires et corrections
Type : ErratumIn
Informations de copyright
© 2020 The Author(s).
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