Abstract
We present a case of successful magnetic resonance imaging-guided focused ultrasound surgery (MRgFUS) of a uterine fibroid in a patient with extensive anterior abdominal wall surgical scars from two longitudinal laparotomies, a total colectomy and ileostomy. This case demonstrates that MRgFUS can be safely used in patients with an ostomy and significant abdominal wall scarring, but careful pretreatment planning and positioning during treatment is needed.
Highlights
We present a case of successful magnetic resonance imaging-guided focused ultrasound surgery (MRgFUS) of a uterine fibroid in a patient with extensive anterior abdominal wall surgical scars from two longitudinal laparotomies, a total colectomy and ileostomy
Abnormality, or any changes in ostomy function were reported. This case report is the first to describe MRgFUS in a patient with an ostomy and a history of multiple abdominal surgeries. This case posed a number of potential challenges: the presence of an ostomy, longitudinal abdominal scarring and multiple abdominal surgeries, which pose a threat of underlying adhesions
Longitudinal scars are more problematic as they are usually midline and the beam has to penetrate from either side of a usually extensive scar
Summary
We present a case of successful magnetic resonance imaging-guided focused ultrasound surgery (MRgFUS) of a uterine fibroid in a patient with extensive anterior abdominal wall surgical scars from two longitudinal laparotomies, a total colectomy and ileostomy. This case demonstrates that MRgFUS can be safely used in patients with an ostomy and significant abdominal wall scarring, but careful pretreatment planning and positioning during treatment is needed.
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