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CC BY 4.0 · Arch Plast Surg 2024; 51(04): 363-366
DOI: 10.1055/a-2268-6986
Case ReportBreast/Trunk
Case Report

Abdominal Wall Hernias Following High-intensity Focused Ultrasound Therapy: Three Case Reports

Woo Yeon Han 
1   Department of Plastic Surgery, Yongin Severance Hospital, Yonsei University College of Medicine, Yongin, Korea
,
Yeongsong Kim 
2   Department of Plastic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
,
Pyeong Hwa Kim 
3   Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
,
Eun Key Kim 
2   Department of Plastic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
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Abstract

Although many studies reported the safety and efficacy of high-intensity focused ultrasound (HIFU) therapy, there are still worries about internal organ injury. However, reports of abdominal wall hernias after HIFU therapy are rare.

We present three cases of abdominal wall hernias without skin injury after HIFU therapy in uterine adenomyosis or fibroids. The diagnosis was often delayed because of vague symptoms, inadequate clinical suspicion, and delayed proper image studies.

Abdominal wall hernia should be recognized as a possible complication after HIFU and be suspected when the patient presents with unordinary abdominal swelling and/or pain that lasts for more than a few months after the procedure.

Keywords

hernia - HIFU - uterine adenomyosis

Authors' Contributions

Study conception and design: E.K.K. Y.K.; data collection: P.H.K.; analysis and interpretation of results: P.H.K., W.Y.H., E.K.K.; draft manuscript preparation: W.Y.H., Y.K. All authors reviewed the results and approved the final version of the manuscript.


Ethical Approval

This study was approved by the Institutional Review Board of the authors' institution (2202-0895).


Patient Consent

Informed consent has been obtained from the patients for the use of clinical photographs and medical images.




Publication History

Received: 15 May 2023

Accepted: 30 January 2024

Accepted Manuscript online:
14 February 2024

Article published online:
18 July 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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