Successful MRI-Guided Focused Ultrasound Uterine Fibroid Treatment Despite an Ostomy and Significant Abdominal Wall Scarring
Figure 1
Pretreatment screening axial T2 weighted screening MR images (a, b) and axial T2 weighted images on the day of treatment (c, d). On screening images, the ostomy is evident in the right lower quadrant (grey arrows), and longitudinal abdominal scarring is seen in the subcutaneous tissue in the midline (black arrows) which overlies the uterine fibroid (F). The ostomy bag can also be seen to overlie the anterior abdominal wall (white thick arrows). On the day of treatment, the ostomy bag was placed off to the side and was no longer visible on the images. The skin of the anterior abdominal wall was pulled off to the right side such that the ostomy and scar are now out of the treatment window and the fibroid (F) is accessible for treatment.
