{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:02:17Z","timestamp":1756339337081,"version":"3.44.0"},"reference-count":10,"publisher":"BMJ","issue":"4","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,8,23]]},"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:p>In this case report, we describe a young woman presenting with long-standing severe abdominopelvic pain caused by abdominal wall endometrial implants. Due to the location, surgical resection was felt to be excessively morbid. Cryoablation entails the image-guided insertion of specialised needles into the tissue to induce tissue freezing and necrosis for the treatment of a variety of disease processes. However, percutaneous cryoablation was deemed impractical due to the implant\u2019s location and risk of injury to the bladder and bowel. Using a hybrid approach of laparoscopic dissection of the bowel and bladder away from the abdominal wall to allow concurrent ultrasound-guided cryoablation, the implant was successfully ablated. Once recovered, she had a resolution of pain. Cryoablation is an effective method to treat painful endometrial implants to the abdominal wall with minimal morbidity.<\/jats:p>","DOI":"10.1136\/bcr-2024-261219","type":"journal-article","created":{"date-parts":[[2025,4,16]],"date-time":"2025-04-16T15:10:21Z","timestamp":1744816221000},"page":"e261219","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Painful endometrial implants to the abdominal wall: minimally invasive treatment with percutaneous cryoablation with laparoscopic assistance"],"prefix":"10.1136","volume":"18","author":[{"given":"Miriam","family":"Chisholm","sequence":"first","affiliation":[{"name":"School of Medicine, Duke University, Durham, North Carolina, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alisan","family":"Fathalizadeh","sequence":"additional","affiliation":[{"name":"Department of Surgery, Duke University, Durham, North Carolina, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dan German","family":"Blazer","sequence":"additional","affiliation":[{"name":"Department of Surgery, Duke University Hospital, Durham, North Carolina, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles Y","family":"Kim","sequence":"additional","affiliation":[{"name":"Interventional Radiology, Duke University, Durham, North Carolina, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,4,16]]},"reference":[{"key":"2025082622534218000_18.4.e261219.1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000002469"},{"key":"2025082622534218000_18.4.e261219.2","doi-asserted-by":"crossref","first-page":"1813","DOI":"10.1007\/s00261-019-02379-4","article-title":"Percutaneous cryoablation of abdominal wall endometriosis: the Mayo Clinic approach","volume":"45","author":"Welch","year":"2020","journal-title":"Abdom Radiol (NY)"},{"key":"2025082622534218000_18.4.e261219.3","doi-asserted-by":"crossref","first-page":"2389","DOI":"10.1056\/NEJMcp1000274","article-title":"Clinical practice","volume":"362","author":"Giudice","year":"2010","journal-title":"Endometriosis N Engl J Med"},{"key":"2025082622534218000_18.4.e261219.4","doi-asserted-by":"publisher","DOI":"10.1097\/OGX.0000000000000399"},{"key":"2025082622534218000_18.4.e261219.5","doi-asserted-by":"publisher","DOI":"10.1007\/s13669-017-0187-1"},{"key":"2025082622534218000_18.4.e261219.6","doi-asserted-by":"publisher","DOI":"10.1055\/s-0036-1597306"},{"key":"2025082622534218000_18.4.e261219.7","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1016\/j.ogc.2022.02.013","article-title":"Abdominal Wall Endometriosis","volume":"49","author":"Foley","year":"2022","journal-title":"Obstet Gynecol Clin North Am"},{"key":"2025082622534218000_18.4.e261219.8","doi-asserted-by":"crossref","first-page":"1192","DOI":"10.1016\/j.jvir.2023.03.025","article-title":"Resolution of Pain after Percutaneous Image-Guided Cryoablation of Extraperitoneal Endometriosis","volume":"34","author":"Najdawi","year":"2023","journal-title":"J Vasc Interv Radiol"},{"key":"2025082622534218000_18.4.e261219.9","doi-asserted-by":"crossref","first-page":"890","DOI":"10.1016\/j.jmig.2023.06.018","article-title":"Percutaneous Imaging-guided Cryoablation of Endometriosis Scars of the Anterior Abdominal Wall","volume":"30","author":"Jouffrieau","year":"2023","journal-title":"J Minim Invasive Gynecol"},{"key":"2025082622534218000_18.4.e261219.10","doi-asserted-by":"crossref","first-page":"4298","DOI":"10.1007\/s00330-017-4827-7","article-title":"Mid-term outcomes after percutaneous cryoablation of symptomatic abdominal wall endometriosis: comparison with surgery alone in a single institution","volume":"27","author":"Maillot","year":"2017","journal-title":"Eur Radiol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-261219","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T05:53:48Z","timestamp":1756274028000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-261219"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4]]},"references-count":10,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2025,4,16]]},"published-print":{"date-parts":[[2025,4]]}},"alternative-id":["10.1136\/bcr-2024-261219"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-261219","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2025,4]]}}}