{"paper_id":"4afd5269-927a-48de-8008-28d12bb85f32","body_text":"ECR 2012 / C-2300\nDeep endometriosis (DE) postoperative chances in Magnectic Ressonance (MR)\nCongress:\nECR 2012\nPoster Number:\nC-2300\nType:\nEducational Exhibit\nKeywords:\nTissue characterisation, Surgery, Complications, MR, Pelvis, Genital / Reproductive system female\nAuthors:\nA. C. C. BRANDAO1, P. P. Ianez2, R. V. Leao2, A. O. Silva2, C. P. Crispi2, M. A. P. Oliveira2; 1rio de janeiro, RJ/BR, 2Rio de Janeiro/BR\nDOI:\n10.1594/ecr2012/C-2300\nLearning objectives\nMR is a noninvasive method with high spatial resolution,\nthat allows tissue characterization of DE,\nfacilitating diagnosis and presurgical counseling.\nMR is being usedinDEpostoperative evaluation,\nhoweverthere are noreports in the literatureon this subject with this method.\nThisarticle aims toshow the mainpost-operative chances and complications of DE.\nA retrospectivereview study was done at our institutionwith 7000 MR between 2007 to 2011.\n30patients were selected with pre and postoperative MR.\nTo illustrate the findings of postoperative changes of deep endometriosis we show two cases.\nFirsts pre and...\nBackground\nDE is an important disorder,\nresponsible for severe pelvic pain,\ndefined as subperitoneal invasion 5 mm under peritoneum,\naffecting vital structures.\nLaparoscopy is gold standart for treatment andis carried out worldwide by numerous surgical teams.Postoperative changes and complications are related to each surgical strategy,\nand are more common inpatients carrying out complex and difficult surgical procedures,\nsuch as rectal endometriosis removal.\nAfter surgery patients maypresentpelvic pain,\nthat can be unrelated torecurrence orresidual lesion.\nUnfortunally recorrence can occur and there is low correlationbetween pain andclinical recurrence....\nImaging findings OR Procedure details\nThe MR post-surgicalchanges\nobserved in our 30 patients were:\n1.Ligament andparietalperitoneum resection- thin tissue,\nhypointenseonT2,\nwell defined,\nwith no bleeding\n.\nAderence can be seen.\n(Figures 1-6,9,10)\n2.Parametrium changes.\nLesion resection may include parametrium (Figure 15 - parametrium laparoscopic resection).\nMagnetic resonance (figures 16 e 17 with T2 weighted images) shows no left parametrium,\nressection of superior left vagina,\nreduction of cervix miometrium until stromal zone with fibrocicatricial changes at this location and paracolpos.\nNote adherence with sigmoide.\nFigure 18- Coronal T2 weighted preoperative magnetic...\nConclusion\nInterpretation at this paper was always correlated with previousMRIandsurgical reports,\nas well patient postoperative complain.\nThose,\ntogheter with high level of pelvic anatomic knowledge,\nhelped to identify postsurgical changes and distinguish of recurrence.\nRadiologists should be familiar with MRpost-surgicalchances,\nto distinguish from recurrence.\nPersonal Information\nAlice Brandão\nRadiologist specialized in women's MR imaging.\nClínica Felippe Mattoso e IRM - Magnetic Resonance.\nPrinted two books: Gynecology and Obstetric Magnetic Resonanc (2002) and Breast Magnetic Resonance (2010),\nboth edited by Revinter.\nMail: [email protected]\nRenata Carneiro Leão\nRadiologist specialized in MR imaging.\nClínica Felippe Mattoso e IRM - Magnetic Resonance.\nMail: [email protected]\nPaula Pavão Ianez\nRadiologist specialized in MR imaging.\nClínica Felippe Mattoso e IRM - Magnetic Resonance.\nMail: [email protected]\nCláudio Peixoto Crispi\nGeneral Coordinator of the graduate videoendoscopy gincológica IFF-FIOCRUZ.\nAssistant Professor,...\nReferences\n1.\nSurgical management of endometriosis.\nJacques Donnez,\nCéline Pirard,\nMireille Smets,\nPascale Jadoul,\nJean Squifflet.\nHuman Reproduction,April 2004.\nVolume 18,\nIssue 2,\n329-348.\n2.\nRecurrence of endometriosis and its control.\nHuman Reproduction Update,\nVolume 15,\nNumber 4,\n441-4461,\n2009.\n3.\nRecurrence of endometriomas after laparoscopic removal: Sonographic and clinical follow-up and indication for second surgery.\nCaterina Exacoustos,\nErrico Zupi,\nAnnalisa Amadio,\nConcetta Amoroso,\nBeata Szabolcs,\nMaria Elisabetta Romanini,\nDomenico Arduini.\nMinimally Invasive Gynecology,\nJuly 2006.\nVolume 13,\nIssue 4,\n281-288.\n4.\nSurgical treatment of deep...","source_license":"CC0","license_restricted":false}