{"paper_id":"534764f0-de26-42e4-95b9-3fb8de575683","body_text":"ECR 2014 / C-2037\nStaging of pelvic endometriosis\nThis poster is published under an open license. Please read the disclaimer for further details.\nCongress:\nECR 2014\nPoster Number:\nC-2037\nType:\nScientific Exhibit\nKeywords:\nCysts, Colonography MR, MR, Pelvis, Genital / Reproductive system female, Abdomen\nAuthors:\nB. Turi, M. R. Fracella; Bari/IT\nDOI:\n10.1594/ecr2014/C-2037\nAims and objectives\nEndometriosis is a common gynecological disorder defined by the presence of ectopic endometrial glands and stroma outside the uterus.\nit represents a common and very important clinical ploblem in women of chilbearing age,\nmanifesting with pain and infertility.\nThe most common locations nof endometriosis are ovaries and pelvic peritoneum,\nfollowed by deep lesions of the pelvic subperitoneal space,\nthe intestinal system and the urinary system.\nDeeeply infiltrating endometriosis is a specific entity: deep endometriotic lesions penetrate under the surface of peritoneum (infiltration >5 m,\nin...\nMethods and materials\nSince December 2011 until August 2013 we enrolled 67 patients,\nage within 31and 38 years,\nall with sympom cronic pelvic pain,\n35 with story of endometriosis (12 submitted to ovarictomy and salpingectomy for endometriosis; 8 submitted to appendicectomy; 2submitted to colecistectomy); 19 with hight suspicion and 13 with medium-low suspicion ofendometriosis.\nMR images were acquired with 1.5 T and phase array coil with standard sequences (T1,T2) in every cases; in 28 cases with suspicion of bowel localization of endometriosis we used ColografiaRM (controlled distention of...\nResults\nIn 48 of 67 patients we found:\n-15 cases: ovarian endometrioma;\n-11 cases: bowel endometriosis;\n-7 cases: obliteration of Douglas;\n-3 cases: endometriosis nodules of bladder;\n-12 cases: nodules,\nfibrosis and adherences.\nThe colografiaRM allowed to identify 15 ovarian endometriomas,\n32 bowel localization (single or multiple),\nallowing differential diagnosis between endometriosis nodules and fibrosis in 12 cases.\nThe meeting between RM and laparoscopy has been 92%.\nConclusion\nLaparoscopy remains the gold standard for the diagnosis and staging evaluation.\nDeep pelvic endometrisis is a common disease affecting women of chilbearing age.\nThe deep endometriotic implants entice an intense desmoplastic response in the surrounding soft tissues,\nleading to the formation of adhesions,\nfibrotic plaque and bands resulting in a ''frozen pelvic'',\nthat can severely limit the yield of laparoscopy.\nTherefore accurate preoperative imaging is invaluable for adequate patient management and treatment planning.\nMRI is a useful noninvasive imaging modality.\nIts multiplanar capabilities and superior...\nPersonal information\nOspedale San Paolo ASL BARI UOC di Radiologia\nDirettore Dott.ssa Antonietta Ancona\nReferences\nBazot M.\net al Deep endometriosis: MR imaging for diagnosis and prediction of extension of diseases.\nRadiology 232:379-389;\nBalleyguier C et al.\nComparison of magnetic resonance imaging and transvaginal ultrasonography in diagnosis bladder endometriosis.\nFedele L et al Preoperative assessment of bladder endometriosis.\nHum Reprod 12:2519-2522\nCornillie Fj et al Deeply infiltrating pelvic endometriosis: histology and clinical significance.\nFertil Steril 53:978-983\nCandiani GB et al La clinica ostetrica e ginecologica vol II Masson pp 1343-1377\nHassanin-Negila et al Endometriomas of the abdominal wall: imaging findings....","source_license":"CC0","license_restricted":false}