{"paper_id":"507c60c2-395a-4f6b-8a04-db05e5e773c9","body_text":"ECR 2013 / C-1100\nDeep Endometriosis: Don’t Forget about Round Ligaments. MRI Features, Clinical and Anatomic Review.\nCongress:\nECR 2013\nPoster Number:\nC-1100\nType:\nEducational Exhibit\nKeywords:\nTissue characterisation, Education, Diagnostic procedure, MR, Pelvis, Genital / Reproductive system female\nAuthors:\nB. Gui1, A. L. Valentini1, M. C. mingote2, V. Ninivaggi1, M. Miccò1, L. Bonomo3; 1Roma/IT, 2Roma (RM)/IT, 3Rome/IT\nDOI:\n10.1594/ecr2013/C-1100\nLearning objectives\nTo help Radiologists in correctly identifying round ligament endometriosis on magnetic resonance images (MRI)\nBackground\nEndometriosis is the presence of functional endometrial glands and stroma outside the uterine cavity and affects approximately 10 to20% of reproductive–age women.\nThe patients may have a variety of symptoms such as progressive dysmenorrehea,\nmenstrual irregolarities,\ndyspareunia and infertility.\nDeep infiltrating endometriosis (DIE) is hystologically defined as a lesion that extends more than 5 mm into the subperitoneal space and/or that affects wall of pelvic organs and ligaments.\n[1]\nDIE predominantly affects posterior structures such as rectovaginal septum and uterosacral ligaments (69,2%),\nwall of the...\nImaging findings OR Procedure details\nEmbriology\nRLU derive from the lower part of the female Gubernaculum,\nan embryonic structure,where the upper part becomes the ovarian ligament.\nThe Gubernaculum forms from the caudal fold and is provoked by the mesonephros elevating to covering the peritoneum.\nIt begins as a cord that extends from the gonadal ridge,\nthe location of undifferentiated gonad,\nto the future inguinal region.\nIt is composed of coelomic-epithelium covered by mesenchimal ,\nmuscular and extracellular matrix precursor cells.\nIt persist as the RLU which penetrates the abdominal wall...\nConclusion\nEndometriosis of the RLU is a rare localization to be considered in female patients with suspectedpelvic endometriosis.\nThe knowledge of anatomic details of these ligaments might help radiologists to better recognize and define the pelvic extension of the disease in order to help gynecologists for the patient’s work up.\nReferences\n[1] Novellas S,\nChassang M,\nBouaziz J,\nDelotte j,\nToullalan O,\nChevallier EP.\nAnterior pelvic endometriosis: MRI features.\nAbdom Imaging.\n2010 Dec;35(6):742-9\n[2] Coutinho A Jr,\nBittencourt LK,\nPires CE,\nJunqueira F,\nLimaCM,\nCoutinho E,\nDomingues MA,\nDomingues RC,\nMarchiori E MR imaging in deep pelvic endometriosis: a pictorial essay.\nRadiographics.\n2011 Mar-Apr;31(2):549-67.\nReview.\n[3]Acién P,\nSánchez del Campo F,\nMayol MJ,\nAcién M,\nThe female gubernaculum: role in the embryology and development of the genital tract and in the possible genesis of malformations.\nEur...\nPersonal Information\nDr.\nB.\nGui,\nDipartimento di Bioimmagini,\nPoliclinico \"A.\nGemelli\" - Roma/IT\n[email protected]","source_license":"CC0","license_restricted":false}