Skip to main content

Advertisement

Log in

MR imaging findings of mass-forming endosalpingiosis in both ovaries: a case report

  • Published:
Abdominal Imaging Aims and scope Submit manuscript

Abstract

A 50-year-old postmenopausal woman, who underwent ultrasonography at a periodic medical checkup, was found to have bilateral ovarian masses. Pelvic magnetic resonance imaging (MRI) showed bilateral multilocular cystic ovarian masses. The cyst walls and septal structure demonstrated contrast enhancement. She underwent bilateral salpingo-oophorectomy. Microscopic examination revealed that the cysts were lined with cuboidal or columnar epithelial cells, and some of the cells were ciliated. The final histopathological diagnosis was endosalpingiosis. Endosalpingiosis is defined as the presence of ectopic ciliated epithelium, resembling the normal endosalpinx, without endometrial stroma. It rarely presents as a tumor-like mass on MRI.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Clement P (1994) Lesions of the secondary Müllerian system. In: Kurman RJ editor. Blaustein’s pathology of the female genital tract. 4th ed. New York: Springer p 660

  2. Sampson JA (1930) Postsalpingectomy endometriosis (endosalpingiosis). Am J Obstet Gynecol 20:443–480

    Google Scholar 

  3. Koren J, Mensikova J, Mukensnabl P, et al. (2006) Müllerianosis of the urinary bladder: report of a case with suggested metaplastic origin. Virchows Arch 449:268–271

    Article  PubMed  Google Scholar 

  4. Zinsser KR, Wheeler JE (1982) Endosalpingiosis in the omentum. A study of autopsy and surgical material. Am J Surg Pathol 6:109–117

    Article  CAS  PubMed  Google Scholar 

  5. Bazot M, Vacher Lavenu MC, Bigot JM (1999) Imaging of endosalpingiosis. Clin Radiol 54:482–485

    Article  CAS  PubMed  Google Scholar 

  6. Heinig J, Gottschalk I, Cirkel U, et al. (2002) Endosalpingiosis: an underestimated cause of chronic pelvic pain or an accidental finding? A retrospective study of 16 cases. Eur J Obstet Gynecol Reprod Biol 103:75–78

    Article  PubMed  Google Scholar 

  7. Clement PB, Young RH (1999) Florid cystic endosalpingiosis with tumor-like manifestations: a report of four cases including the first reported cases of transmural endosalpingiosis of the uterus. Am J Surg Pathol. 23(2):166–175

    Article  CAS  PubMed  Google Scholar 

  8. Katre R, Morani AK, Prasad SR, et al. (2010) Tumors and pseudotumors of the secondary mullerian system: review with emphasis on cross-sectional imaging findings. Am J Roentgenol 195:1452–1459

    Article  Google Scholar 

  9. Taneja S, Sidhu R, Khurana A, et al. (2010) MRI appearance of florid cystic endosalpingiosis of the uterus: a case report. Korean J Radiol 11:476–479

    Article  PubMed Central  PubMed  Google Scholar 

  10. Lee SN, Cho MS, Kim SC, et al. (2005) Tumor-like multilocular cystic endosalpingiosis of the uterine serosa: possible clinical and radiologic misinterpreted. Acta Obstet Gynecol Scand 84:98–99

    Article  PubMed  Google Scholar 

  11. Cil AP, Atasoy P, Kara SA (2008) Myometrial involvement of tumor-like cystic endosalpingiosis: a rare entity. Ultrasound Obstet Gynecol 32:106–110

    Article  CAS  PubMed  Google Scholar 

  12. Arai Y, Tsuzuki M, Okubo Y, et al. (1999) A case of submucosal endosalpingiosis in the urinary bladder. Nihon Hinyokika Gakkai Zasshi 90:802–805

    CAS  PubMed  Google Scholar 

  13. Jung SE, Lee JM, Rha SE, et al. (2002) CT and MR imaging of ovarian tumors with emphasis on differential diagnosis. RadioGraphics 22:1305–1324

    Article  PubMed  Google Scholar 

  14. Brown DL, Zou KH, Tempany CM, et al. (2001) Primary versus secondary ovarian malignancy: imaging findings of adnexal masses in the Radiology Diagnostic Oncology Group Study. Radiology 219:213–218

    Article  CAS  PubMed  Google Scholar 

  15. Kim JC, Kim SS, Park JY (2000) MR findings of struma ovarii. Clin Imaging 24:28–33

    Article  CAS  PubMed  Google Scholar 

  16. Esselen KM, Ng SK, Hua Y, et al. (2014) Endosalpingiosis as it relates to tubal, ovarian and serous neoplastic tissues: an immunohistochemical study of tubal and Müllerian antigens. Gynecol Oncol 132:316–321

    Article  CAS  PubMed  Google Scholar 

  17. Djordjevic B, Clement-Kruzel S, Atkinson NE, et al. (2010) Nodal endosalpingiosis in ovarian serous tumors of low malignant potential with lymph node involvement: a case for a precursor lesion. Am J Surg Pathol 34:1442–1448

    Article  PubMed  Google Scholar 

  18. Carrick KS, Milvenan JS, Albores-Saavedra J (2003) Serous tumor of low malignant potential arising in inguinal endosalpingiosis: report of a case. Int J Gynecol Pathol 22:412–445

    Article  PubMed  Google Scholar 

  19. Wagner BJ, Buck JL, Seidman JD, et al. (1994) From the archives of the AFIP. Ovarian epithelial neoplasms: radiologic-pathologic correlation. RadioGraphics 14:1351–1374

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sachi Kaneda.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Kaneda, S., Fujii, S., Nosaka, K. et al. MR imaging findings of mass-forming endosalpingiosis in both ovaries: a case report. Abdom Imaging 40, 471–474 (2015). https://doi.org/10.1007/s00261-014-0327-2

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00261-014-0327-2

Keywords

Navigation