{"paper_id":"39bc3459-79e4-4aee-b7e9-04c7725b9fca","body_text":"ECR 2019 / C-3027\nEndometriosis: A multimodality approach to imaging the pelvis and beyond\nCongress:\nECR 2019\nPoster Number:\nC-3027\nType:\nEducational Exhibit\nKeywords:\nTissue characterisation, Outcomes, Obstruction / Occlusion, Structured reporting, Complications, Ultrasound, MR, CT, Pelvis, Genital / Reproductive system female, Abdomen\nAuthors:\nD. Valencia, R. Wilkins, J. Smith, P. L. Moyle, E. Sala, H. C. Addley, S. Freeman; CAMBRIDGE/UK\nDOI:\n10.26044/ecr2019/C-3027\nLearning objectives\nIdentify common radiological features of endometriosis\nReconise unusual disease sites\nUnderstand the treatment-planning role of radiology\nBackground\nCommon sites of endometrial deposits are within the pelvis affecting the ovaries,\nfallopian tubes,\nuterosacral ligaments and pouch of Douglas.Endometriosis can also exist in previous Caesarean-section scars.\nEndometriosis presents with a range of symptoms: chronic pelvic pain,\ndyspareunia,\ndysmenorrhoea and infertility.\nThe site of endometriotic deposits relates to the presenting symptoms.\nFor example,\npelvic / abdominal adhesions may cause chronic,\nnon-cyclical pelvic pain.\nWhereas,\nendometriotic deposits on uterosacral ligaments can cause dyspareunia.\nBladder and ureteric involvement may cause irritative bladder symptoms,\nfrequency and suprapubic discomfort....\nFindings and procedure details\nUltrasound\nAdvantages:\nNo ionising radiation\nQuicker and cheaper examination when compared to MR\nDynamic study with real time feedback from patients for areas of concern\nDisadvantages:\nLimited field of view\nOperator dependent\nUS is readily available and typically the first imaging test in suspected endometriosis.\nHowever,\nit requires knowledge and understanding of endometriosis,\nto identify disease.\nEndometriomas are the most commonly seen manifestation of endometriosis and are seen on US as cysts containing homogeneous low level echoes (Fig. 1).\nEndometriomas may be either unilateral or...\nConclusion\nEndometriosis is a common disease with significant associated morbidity.\nRadiologists and sonographers play a crucial role in the diagnosis.\nUltrasound,\nCT and MRI can have important roles the diagnosis of endometriosis due to the wide spectrum of presentations as demonstrated.\nWe have found that MRI in particular is a very useful tool in pre-operative planning in complex cases involving the urinary and gastrointestinal tract.\nIt is important to recognise the common imaging features of endometriosis and be aware of the potential areas for endometriotic deposits.\nPersonal information\nD.Valencia - Specialty Registrar,\nRadiology,\nAddenbrooke's Hospital,\nCambridge,\nUK\nR.\nWilkins - Sonographer,\nRadiology,\nAddenbrooke's Hospital,\nCambridge,\nUK\nJ.\nSmith - Specialty Registrar,\nRadiology,\nAddenbrooke's Hospital,\nCambridge,\nUK\nP.\nL.\nMoyle - Consultant,\nRadiology,\nAddenbrooke's Hospital,\nCambridge,\nUK\nE.\nSala - Consultant,\nRadiology,\nAddenbrooke's Hospital,\nCambridge,\nUK\nH.\nC.\nAddley - Consultant,\nRadiology,\nAddenbrooke's Hospital,\nCambridge,\nUK\nS.\nFreeman - Consultant,\nRadiology,\nAddenbrooke's Hospital,\nCambridge,\nUK\nReferences\nBazot M,\nBharwani N,\nHuchon C et al.European society of urogenital radiology (ESUR) guidelines: MR imaging of pelvic endometriosis.\nEur Radiol 2017;27(7):2765–2775.\nBusard M,\nvan der Houwen L,\nBleeker M,\nPieters van den Bos I,\nCuesta M,\nvan Kuijk C et al.\nDeep infiltrating endometriosis of the bowel: MR imaging as a method to predict muscular invasion.\nAbdominal Imaging.\n2011;37(4):549-557.\nCoutinho A,Bittencourt LK,Pires CEet al..MR imaging in deep pelvic endometriosis: a pictorial essay.RadioGraphics2011;31(2):549–567\nDel Frate C,\nGirometti R,\nPittino M,\nDel Frate G,\nBazzocchi M,...","source_license":"CC0","license_restricted":false}