{"paper_id":"4c6e3b8f-ba00-4d3e-9b56-38337af5a757","body_text":"ECR 2025 / C-17490\nRevealing all the secrets of pelvic endometriosis\nCongress:\nECR 2025\nPoster Number:\nC-17490\nType:\nEducational Exhibit\nKeywords:\nGenital / Reproductive system female, Pelvis, Peritoneum, MR, Ultrasound, Diagnostic procedure, Screening, Inflammation\nAuthors:\nA. El Attar, D. Bentaleb, I. El Bekkai, D. Laoudiyi, K. CHBANI, S. Salam\nDOI:\n10.26044/ecr2025/C-17490\nLearning objectives\nTo understand the physiopathology of endometriosis and to know the three different entities of this disease.\nTo know the optimal MRI protocol and guidelines for the diagnosis of pelvic endometriosis\nTo describe the imaging characteristics of pelvic endometriosis and its differential diagnosis.\nBackground\nPelvic endometriosis (PE) is a chronic inflammatory disease that affects 2-8% of females, and more than 80% of affected patients are of reproductive age. It’s considered one of the many causes of pelvic pain and infertility. While the physiopathology of pelvic endometriosis is still not completely understood, different theories have been proposed to explain the disease.\nFindings and procedure details\nEndometriosis is the presence of glandular and endometrial stromal tissue outside the uterine cavity. It is mainly found in the abdominal cavity, most commonly on the surface of the ovaries. The most common symptoms are dysmenorrhea, dyspareunia, pelvic pain, and infertility - although it may also be asymptomaticPHYSIOPATHOLOGY Two theories were made trying to explain the physiopathology behind endometriosis (1,2)\nRetrograde menstruation, reflux of endometrial tissue through the fallopian tube, results in the implantation and growth of endometrial tissue in the peritoneal surface, most found...\nConclusion\nPelvic endometriosis can have a tremendous effect on a patient’s quality of life as well as their fertility. An early and effective diagnosis is mandatory to evaluate the spread of lesions and the severity of adhesions for a more effective treatment strategy. Every radiologist should be familiar with both common and uncommon locations of endometriosis and their characteristic imaging findings.\nPersonal information and conflict of interest\nA. El Attar:\nNothing to disclose\nD. Bentaleb:\nNothing to disclose\nI. El Bekkai:\nNothing to disclose\nD. Laoudiyi:\nNothing to disclose\nK. Chbani:\nNothing to disclose\nS. Salam:\nNothing to disclose\nReferences\nKido A, Himoto Y, Moribata Y, Kurata Y, Nakamoto Y. MRI in the Diagnosis of Endometriosis and Related Diseases. Korean J Radiol. 2022 Apr;23(4):426–45.\nMéndez Fernández R, Barrera Ortega J. Magnetic resonance imaging of pelvic endometriosis. Radiologia. 2017 Jul 1;59(4):286–96.\nBazot M, Bharwani N, Huchon C, Kinkel K, Cunha TM, Guerra A, et al. European society of urogenital radiology (ESUR) guidelines: MR imaging of pelvic endometriosis. Eur Radiol. 2017 Jul;27(7):2765–75.\nRousset P, Florin M, Bharwani N, Touboul C, Monroc M, Golfier F, et al. Deep...","source_license":"CC0","license_restricted":false}