{"paper_id":"17c15aec-d359-4d63-ab28-92966be0dc15","body_text":"ECR 2022 / C-16711\nEndometriosis imaging: What to look for.\nCongress:\nECR 2022\nPoster Number:\nC-16711\nType:\nEducational Exhibit\nKeywords:\nGenital / Reproductive system female, Pelvis, MR, Ultrasound, Surgery, Haemorrhage\nAuthors:\nH. E. ELmouden, D. LAOUDIYI, K. CHBANI, S. SALAM, L. OUZIDANE\nDOI:\n10.26044/ecr2022/C-16711\nLearning objectives\n-Show the ultrasound aspect of endometriosis-Illustrate the magnetic resonance imaging (MRI) features of endometriosis-Evaluate the utility of fat-suppressed magnetic resonance imaging (MRI) in the diagnosis of endometriosis.\nBackground\nEndometriosis is a chronic gynaecological condition affecting women of reproductive age and may cause pelvic pain and infertility. It is characterized by the growth of functional ectopic endometrial glands and stroma outside the uterus and includes three different manifestations: ovarian endometriomas, peritoneal implants, deep pelvic endometriosis. The primary locations are in the pelvis; extrapelvic endometriosis may rarely occur. Diagnosis requires a combination of clinical history, invasive and non-invasive techniques\nThe imaging techniques have a fundamental role in the diagnosis of endometriosisPelvic ultrasound is the primary...\nFindings and procedure details\nUltrasound is the first line investigation of women suspected of having endometriosis due to its wide availability, good resolution, low cost and lack of ionising radiation. The main focus of trans-abdominal (TA) and trans-vaginal (TV) scanning is to visualise the ovaries and to completely characterise any cystic lesions in terms of internal echogenicity and wall morphology [10].Characteristic sonographic features of endometriomas are diffuse low-level internal echos, multilocularity and hyperchoic foci in the wall. (Figure 1)\n(Figure 2)\nDifferential diagnoses include corpus luteum, teratoma, cystadenoma, fibroma,...\nConclusion\nMRI represents the best imaging technique for preoperative staging of endometriosis, in order to choose the more appropriate surgical approach and to plan a multidisciplinary team work\nPersonal information and conflict of interest\nh. E. ELmouden:\nNothing to disclose\nD. LAOUDIYI:\nNothing to disclose\nK. CHBANI:\nNothing to disclose\nS. SALAM:\nNothing to disclose\nL. OUZIDANE:\nNothing to disclose\nReferences\n1-Pietro Valerio,Renato Farina,Stephano Palmucci,Maria Coronella,Pietro Milone Antonio Cianci and Giovanni Carlo Ettorre Endometriosis: clinical features, MR imaging findings and pathologic correlation 2018 Apr; 9(2): 149–172\n2-Chamié LP, Blasbalg R, Pereira RM, Warmbrand G, Serafini PC. Findings of pelvic endometriosis at transvaginal US, MR imaging, and laparoscopy. Radiographics. 2011;31(4):E77–100. doi:10.1148/rg.314105193\n3- Hsu AL, Khachikyan I, Stratton P. Invasive and noninvasive methods for the diagnosis of endometriosis. Clin Obstet Gynecol. 2010;53(2):413–419. doi:10.1097/GRF.0b013e3181db7ce8.\n4-Viala-Trentini M, Maubon A, Filhastre M, Georges P, Rouanet J-P (2006) Imagerie de l’hypofertilité de...","source_license":"CC0","license_restricted":false}