New surgical technique of laparoscopic resection of adenomyosis under real-time intraoperative ultrasound elastography guidance: A case report
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 diagnos...
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doaj-e592a7ccf2634a248a1d906f488d6e052020-11-25T03:54:05ZengElsevierHeliyon2405-84402020-08-0168e04628New surgical technique of laparoscopic resection of adenomyosis under real-time intraoperative ultrasound elastography guidance: A case reportYoshiaki Ota0Kuniaki Ota1Toshifumi Takahashi2Soichiro Suzuki3Rikiya Sano4Mitsuru Shiota5Department of Gynecologic Oncology, Kawasaki Medical School, Okayama, 701-0192, JapanFukushima Medical Center for Children and Women, Fukushima Medical University, Fukushima, 960-1295, JapanFukushima Medical Center for Children and Women, Fukushima Medical University, Fukushima, 960-1295, Japan; Corresponding author.Department of Gynecologic Oncology, Kawasaki Medical School, Okayama, 701-0192, JapanDepartment of Gynecologic Oncology, Kawasaki Medical School, Okayama, 701-0192, JapanDepartment of Gynecologic Oncology, Kawasaki Medical School, Okayama, 701-0192, JapanDetecting 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.http://www.sciencedirect.com/science/article/pii/S2405844020314729Abdominal surgeryGynecologyMedical imagingPregnancyReproductive systemAdenomyosis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Yoshiaki Ota Kuniaki Ota Toshifumi Takahashi Soichiro Suzuki Rikiya Sano Mitsuru Shiota |
spellingShingle |
Yoshiaki Ota Kuniaki Ota Toshifumi Takahashi Soichiro Suzuki Rikiya Sano Mitsuru Shiota New surgical technique of laparoscopic resection of adenomyosis under real-time intraoperative ultrasound elastography guidance: A case report Heliyon Abdominal surgery Gynecology Medical imaging Pregnancy Reproductive system Adenomyosis |
author_facet |
Yoshiaki Ota Kuniaki Ota Toshifumi Takahashi Soichiro Suzuki Rikiya Sano Mitsuru Shiota |
author_sort |
Yoshiaki Ota |
title |
New surgical technique of laparoscopic resection of adenomyosis under real-time intraoperative ultrasound elastography guidance: A case report |
title_short |
New surgical technique of laparoscopic resection of adenomyosis under real-time intraoperative ultrasound elastography guidance: A case report |
title_full |
New surgical technique of laparoscopic resection of adenomyosis under real-time intraoperative ultrasound elastography guidance: A case report |
title_fullStr |
New surgical technique of laparoscopic resection of adenomyosis under real-time intraoperative ultrasound elastography guidance: A case report |
title_full_unstemmed |
New surgical technique of laparoscopic resection of adenomyosis under real-time intraoperative ultrasound elastography guidance: A case report |
title_sort |
new surgical technique of laparoscopic resection of adenomyosis under real-time intraoperative ultrasound elastography guidance: a case report |
publisher |
Elsevier |
series |
Heliyon |
issn |
2405-8440 |
publishDate |
2020-08-01 |
description |
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. |
topic |
Abdominal surgery Gynecology Medical imaging Pregnancy Reproductive system Adenomyosis |
url |
http://www.sciencedirect.com/science/article/pii/S2405844020314729 |
work_keys_str_mv |
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