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US and MRI features of pelvic endometriosis

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Abstract

Endometriosis represents a common and important clinical problem of women of childbearing age. It is a disabling disorder manifesting with pain and infertility. The exact pathogenesis of the disease remains unclear, despite the different theories that have been formulated. The literature on endometriosis is extensive, but often in regard to classic endometrioma. It is surprising that, to the best of our knowledge, the many radiologic features of extraovarian endometriosis have not been well documented thus far. Although ultrasound (US) remains the imaging modality of choice in the radiologic evaluation of female patients with pelvic pain, the role of magnetic resonance imaging (MRI) in the evaluation of abdominal pain is expanding. In the young patient, MRI may be performed if a gynecologic disorder is not suspected at first, especially if US findings are equivocal or the abnormality extends beyond the field of view of the sonographic probe. Moreover, MRI is useful whenever further characterization of pelvic disorder is required. In fact, many causes of pelvic disorders and of endometriosis in particular demonstrate characteristic MRI findings. For these reasons, in this work we describe the protean US and MRI appearances of endometrial foci as encountered in daily experience.

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References

  1. K Togashi K Nishimura I Kimura et al. (1991) ArticleTitleEndometrial cysts: diagnosis with MR imaging. Radiology 180 73–78 Occurrence Handle1:STN:280:By6B2s7lvVQ%3D Occurrence Handle2052726

    CAS  PubMed  Google Scholar 

  2. DL Olive LB Schwartz (1993) ArticleTitleEndometriosis. N Engl J Med 328 1759–1769 Occurrence Handle10.1056/NEJM199306173282407 Occurrence Handle1:STN:280:ByyB28fjsVI%3D Occurrence Handle8110213

    Article  CAS  PubMed  Google Scholar 

  3. IA Brosens (1998) ArticleTitleEndometriosis. Current issues in diagnosis and medical management. J Reprod Med 43 281–286 Occurrence Handle1:STN:280:DyaK1c3isFymsg%3D%3D Occurrence Handle9564662

    CAS  PubMed  Google Scholar 

  4. GB Candiani (1996) La clinica ostetrica e ginecologica. Masson Ed Milan

    Google Scholar 

  5. PJ Woodward R Sohaey TP Jr Mezzetti (2001) ArticleTitleEndometriosis: radiologic–pathologic correlation. Radiographics 21 193–216 Occurrence Handle1:STN:280:DC%2BD3MzgtFCjtg%3D%3D Occurrence Handle11158655

    CAS  PubMed  Google Scholar 

  6. PC Galle (1989) ArticleTitleClinical presentation and diagnosis of endometriosis. Obstet Gynecol Clin North Am 16 29–42 Occurrence Handle1:STN:280:BiaA3MvmvF0%3D Occurrence Handle2664621

    CAS  PubMed  Google Scholar 

  7. L Fedele F Parazzini S Bianchi et al. (1990) ArticleTitleStage and localization of pelvic endometriosis and pain. Fertil Steril 53 155–158 Occurrence Handle1:STN:280:By%2BC3cfis1Q%3D Occurrence Handle2400415

    CAS  PubMed  Google Scholar 

  8. PR Koninckx C Meuleman S Demeyere et al. (1991) ArticleTitleSuggestive evidence that pelvic endometriosis is a progressive disease, whereas deeply infiltrating endometriosis is associated with pelvic pain. Fertil Steril 55 759–765 Occurrence Handle1:STN:280:By6C1cvks10%3D Occurrence Handle2010001

    CAS  PubMed  Google Scholar 

  9. BA Lessey (2000) ArticleTitleMedical management of endometriosis and infertility. Fertil Steril 73 1089–1096 Occurrence Handle10.1016/S0015-0282(00)00519-7 Occurrence Handle1:STN:280:DC%2BD3czhsF2itA%3D%3D Occurrence Handle10856462

    Article  CAS  PubMed  Google Scholar 

  10. EJ Thomas (1995) ArticleTitleEndometriosis, 1995—confusion or sense? Int J Gynaecol Obstet 48 149–155 Occurrence Handle10.1016/0020-7292(94)02277-6 Occurrence Handle1:STN:280:ByqA3cbkvVQ%3D Occurrence Handle7789588

    Article  CAS  PubMed  Google Scholar 

  11. P Clement (1994) Endometriosis, lesion of the secondary Müllerian system, and pelvic mesothelial proliferations K RJ (Eds) Blaustein’s pathology of the female genital tract, 4th ed. Springer-Verlag New York 660–680

    Google Scholar 

  12. MC Kupfer SR Schwimer J Lebovic (1992) ArticleTitleTransvaginal sonographic appearance of endometriomata: spectrum of findings. J Ultrasound Med 11 129–133 Occurrence Handle1:STN:280:By2B3Mbjt1c%3D Occurrence Handle1560503

    CAS  PubMed  Google Scholar 

  13. PA Athey DD Diment (1989) ArticleTitleThe spectrum of sonographic findings in endometriomas. J Ultrasound Med 8 487–491 Occurrence Handle1:STN:280:BiaA1c3nsVA%3D Occurrence Handle2674470

    CAS  PubMed  Google Scholar 

  14. AM Marchevsky MJ Zimmerman AH Jr Aufses H Weiss (1984) ArticleTitleEndometrial cyst of the pancreas. Gastroenterology 86 1589–1591 Occurrence Handle1:STN:280:BiuC1czksFY%3D Occurrence Handle6714583

    CAS  PubMed  Google Scholar 

  15. S Di Palo G Mari R Castoldi et al. (1989) ArticleTitleEndometriosis of the lung. Respir Med 83 255–258 Occurrence Handle1:STN:280:By%2BD1czot1E%3D Occurrence Handle2512594

    CAS  PubMed  Google Scholar 

  16. P Goodman B Raval G Zimmerman (1990) ArticleTitlePerforation of the colon due to endometriosis. Gastrointest Radiol 15 346–348 Occurrence Handle1:STN:280:By6D3cjgsVI%3D Occurrence Handle2210212

    CAS  PubMed  Google Scholar 

  17. HV Posniak A Keshavarzian R Jabamoni (1990) ArticleTitleDiaphragmatic endometriosis: CT and MR findings. Gastrointest Radiol 15 349–351 Occurrence Handle1:STN:280:By6D3cjgsVM%3D Occurrence Handle2210213

    CAS  PubMed  Google Scholar 

  18. K Nakanishi K Bohndorf F Lindemann E Leipprand (1994) ArticleTitleEndometriosis of the liver: findings of imaging diagnosis. Rofo Fortschr Geb Rontgenstr Neuen Bildgeb Verfahr 161 379–381 Occurrence Handle1:STN:280:ByqD3snht1Q%3D Occurrence Handle7948990

    CAS  PubMed  Google Scholar 

  19. R Duke P Fawcett J Booth (1995) ArticleTitleRecurrent subarachnoid hemorrhage due to endometriosis. Neurology 45 1000–1002 Occurrence Handle1:STN:280:ByqB28rhsFM%3D Occurrence Handle7746372

    CAS  PubMed  Google Scholar 

  20. J Donnez J Squifflet F Casanas-Roux et al. (2003) ArticleTitleTypical and subtle atypical presentations of endometriosis. Obstet Gynecol Clin North Am 30 83–93 Occurrence Handle12699259

    PubMed  Google Scholar 

  21. GL Bennett CM Slywotzky G Giovanniello (2002) ArticleTitleGynecologic causes of acute pelvic pain: spectrum of CT findings. Radiographics 22 785–801 Occurrence Handle12110710

    PubMed  Google Scholar 

  22. Scully RE YR, Clement PB (1998) Tumor-like lesions. In: Tumors of the ovary, maldeveloped gonads, fallopian tube, and broad ligament. Washington, DC: Armed Forces Institute of Pathology, 430–434

  23. L Fedele S Bianchi A Portuese et al. (1998) ArticleTitleTransrectal ultrasonography in the assessment of rectovaginal endometriosis. Obstet Gynecol 91 444–448 Occurrence Handle10.1016/S0029-7844(97)00688-1 Occurrence Handle1:STN:280:DyaK1c7ltVyguw%3D%3D Occurrence Handle9491875

    Article  CAS  PubMed  Google Scholar 

  24. R Manfredi AL Valentini (1998) ArticleTitleMagnetic resonance imaging of pelvic endometriosis. Rays 23 702–708 Occurrence Handle1:STN:280:DyaK1M3gsleqsg%3D%3D Occurrence Handle10191666

    CAS  PubMed  Google Scholar 

  25. K Takahashi M Okada S Okada et al. (1996) ArticleTitleStudies on the detection of small endometrial implants by magnetic resonance imaging using a fat saturation technique. Gynecol Obstet Invest 41 203–206 Occurrence Handle1:STN:280:BymA3sjit1A%3D Occurrence Handle8698267

    CAS  PubMed  Google Scholar 

  26. ES Siegelman E Outwater T Wang DG Mitchell (1994) ArticleTitleSolid pelvic masses caused by endometriosis: MR imaging features. AJR 163 357–361 Occurrence Handle1:STN:280:ByuA3M7htF0%3D Occurrence Handle8037030

    CAS  PubMed  Google Scholar 

  27. JM Stringfellow JM Hawnaur (1998) ArticleTitleCT and MRI appearances of sarcomatous change in chronic pelvic endometriosis. Br J Radiol 71 90–93 Occurrence Handle1:STN:280:DyaK1c7ps1ajtA%3D%3D Occurrence Handle9534707

    CAS  PubMed  Google Scholar 

  28. MD Patel VA Feldstein DC Chen et al. (1999) ArticleTitleEndometriomas: diagnostic performance of US. Radiology 210 739–745 Occurrence Handle1:STN:280:DyaK1M3itlyrsQ%3D%3D Occurrence Handle10207476

    CAS  PubMed  Google Scholar 

  29. S Guerriero S Ajossa G Melis (2000) ArticleTitlePerformance of US in the diagnosis of endometrioma. Radiology 215 305–307 Occurrence Handle1:STN:280:DC%2BD3c3hslajtQ%3D%3D

    CAS  Google Scholar 

  30. WG Jr Bradley (1993) ArticleTitleMR appearance of hemorrhage in the brain. Radiology 189 15–26 Occurrence Handle8372185

    PubMed  Google Scholar 

  31. CM Glastonbury (2002) ArticleTitleThe shading sign. Radiology 224 199–201 Occurrence Handle12091683

    PubMed  Google Scholar 

  32. AM Fried CM III Kenney KB Stigers et al. (1996) ArticleTitleBenign pelvic masses: sonographic spectrum. Radiographics 16 321–334 Occurrence Handle1:STN:280:BymB2cvhtFI%3D Occurrence Handle8966290

    CAS  PubMed  Google Scholar 

  33. S Guerriero V Mais S Ajossa et al. (1995) ArticleTitleThe role of endovaginal ultrasound in differentiating endometriomas from other ovarian cysts. Clin Exp Obstet Gynecol 22 20–22 Occurrence Handle1:STN:280:ByqB2MvntFA%3D Occurrence Handle7736636

    CAS  PubMed  Google Scholar 

  34. WW Mayo-Smith MJ Lee (1995) ArticleTitleMR imaging of the female pelvis. Clin Radiol 50 667–676 Occurrence Handle1:STN:280:BymD3Mjlt1U%3D Occurrence Handle7586957

    CAS  PubMed  Google Scholar 

  35. K Miyakoshi M Tanaka D Gabionza et al. (1998) ArticleTitleDecidualized ovarian endometriosis mimicking malignancy. AJR 171 1625–1626 Occurrence Handle1:STN:280:DyaK1M%2FlslCgtg%3D%3D Occurrence Handle9843300

    CAS  PubMed  Google Scholar 

  36. Y De Breuck K Ramboer J Ghekiere et al. (1996) ArticleTitleEndometrioid cystadenocarcinoma of the ovary. J Belg Radiol 79 165–166 Occurrence Handle1:STN:280:ByiD3M7pt1U%3D Occurrence Handle8858898

    CAS  PubMed  Google Scholar 

  37. S Marcoux R Maheux S Berube (1997) ArticleTitleLaparoscopic surgery in infertile women with minimal or mild endometriosis. Canadian Collaborative Group on Endometriosis. N Engl J Med 337 217–222 Occurrence Handle10.1056/NEJM199707243370401 Occurrence Handle1:STN:280:ByiA2MjisVY%3D Occurrence Handle9227926

    Article  CAS  PubMed  Google Scholar 

  38. CA Gougoutas ES Siegelman J Hunt EK Outwater (2000) ArticleTitlePelvic endometriosis: various manifestations and MR imaging findings. AJR 175 353–358 Occurrence Handle1:STN:280:DC%2BD3cvgvVSntw%3D%3D Occurrence Handle10915674

    CAS  PubMed  Google Scholar 

  39. NM De Souza JJ Brosens JE Schwieso et al. (1995) ArticleTitleThe potential value of magnetic resonance imaging in infertility. Clin Radiol 50 75–79 Occurrence Handle1:STN:280:ByqC2s7mslQ%3D Occurrence Handle7867272

    CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Radiology, University Hospital “G. B. Rossi”, P.le L.A. Scuro, 10, 37134 Verona, Italy

    G. Carbognin, I. Vitale, R. Malagó, G. Zamboni & C. Procacci

  2. Department of Radiology, Ospedale “Sacro Cuore–don Calabria”, Via don A. Sempreboni, 5, 37024 Negrar (Verona), Italy

    A. Guarise

  3. Department of Obstetrics and Gynecology, Ospedale “Sacro Cuore–don Calabria”, Via don A. Sempreboni, 5, 37024 Negrar (Verona), Italy

    L. Minelli

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  1. G. Carbognin
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Carbognin, G., Guarise, A., Minelli, L. et al. US and MRI features of pelvic endometriosis. Abdom Imaging 29, 609–618 (2004). https://doi.org/10.1007/s00261-003-0152-5

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