{"paper_id":"38927f89-fcdc-4d85-962e-0a46d20cdd25","body_text":"ECR 2019 / C-3573\nEndometriosis: Spectrum of MR findings in pelvic and extrapelvic locations\nCongress:\nECR 2019\nPoster Number:\nC-3573\nType:\nEducational Exhibit\nKeywords:\nTissue characterisation, Structured reporting, Image compression, Diagnostic procedure, MR, Genital / Reproductive system female\nAuthors:\nZ. Cobo Tabar1, A. Coll i Prat2, J. Gonzalez Ocio3, M. Salomón de la Vega1, E. GOROSTIZA BERMEJO4, M. López Ferreras2, A. I. Ezquerro Imaz2, A. R. Gil1, A. Urresola Olabarrieta1; 1cruces-barakaldo/ES, 2Barakaldo/ES, 3Bilbao/ES, 4Baracaldo/ES\nDOI:\n10.26044/ecr2019/C-3573\nLearning objectives\nTo review the spectrum of MRI findings in pelvic endometriosis.\nTo describe and illustrate different cases of atypical - extrapelvic endometriosis locations.\nBackground\nEndometriosis is a common estrogen-dependent gynecologic disorder of unclear cause defined by the presence of ectopic functional endometrial tissue outside the uterine cavity.\nThe most common location of this disease is the pelvic cavity,\nalthough it can be found nearly anywhere in the body.\nThey are three forms of presentation within the pelvic cavity: the superficial implants on the peritoneal surface,\novarian endometriomas,\nand deep infiltrating endometriosis.\nPatients may be asymptomatic or suffer a variety of symptoms that include pelvic pain,\ndysmenorrhea,\ndyspareunia or infertility....\nFindings and procedure details\nTABLE OF CONTENTS\n1.\nMRI Technique\n2.\nPelvic locations\n2.1.\nEndometriomas\n2.2.\nSuperficial implants\n2.3.\nDeep pelvic endometriosis\nA.\nAnterior compartment\nB.\nMiddle compartment\nC.\nPosterior compartment\n3.Malignant transformation\n4.\nPost-surgical findings\n5.\nExtrapelvic locations\n5.1.\nMuscular and subcutaneous endometriosis\n5.2.\nUmbilicus\n5.3.\nNerves\n1.\nMRI TECHNIQUE\nPatient preparation:\nRectal enema.\nAnti-peristaltic drugs before the test to reduce the artifacts caused by the intestinal peristalsis.\nRectal and vaginal opacification with aqueous gel,\nto facilitate the detection of implants in the wall of these organs.\nModerate...\nConclusion\nRadiologistsplay a key role in the diagnosis of endometriosis,\nand thus in an optimate therapeutic approach.\nHence the importance of being familiar not only with the image findings of typical pelvic locations including the signs of malignant transformation and post-surgical changes,\nbut also with extrapelvic spectrum of signs.\nReferences\nChamié L ,\nFerreira D,\net al. Atypical Sites of Deeply Infiltrative Endometriosis: Clinical Characteristics and Imaging Findings.\nRadioGraphics 2018; 38: 309–328\nCorwin M,\nGerscovich E,\net al. Differentiation of Ovarian endometriomas from hemorrhagic cysts at Mr imaging: Utility of the T2 Dark Spot Sign.\nRadiology 2014; 271: 126 -132.\nCoutinho A, Kayat Bittencourt L,et al. MR Imaging in Deep Pelvic Endometriosis: A Pictorial Essay.\nRadioGraphics 2011; 31:549–567.\nTran-Harding K,\nRashmi N et al. Endometriosis revisited: an imaging review of the usual and unusual manifestations...","source_license":"CC0","license_restricted":false}