{"paper_id":"721e8bec-6dc5-4fde-9288-6c14c35db29f","body_text":"ECR 2024 / C-16161\nEndometriosis in day to day practice in usual and unusual locations : A checklist for radiologists\nCongress:\nECR 2024\nPoster Number:\nC-16161\nType:\nEducational Exhibit\nKeywords:\nGenital / Reproductive system female, MR, Ultrasound, Ultrasound-Colour Doppler, Education, History, Education and training\nAuthors:\nS. SHARMA, A. Aggarwal, S. Manchanda\nDOI:\n10.26044/ecr2024/C-16161\nLearning objectives\nEndometriosis is one of the most common causes of pelvic pain and infertility in young females seen in routine practice. The purpose of this exhibit is toa)familiarise radiologists with the typical and atypical radiological features,b)look at usual and unusual sites;c) systematically approach the suspected case.\nBackground\nClinical history along with imaging forms the mainstay of diagnosis. Transvaginal ultrasound (TVS) is done in the initial evaluation of the patient with suspected pelvic endometriosis. Magnetic Resonance Imaging (MRI), however, helps in the complete assessment of endometriosis and gives a roadmap for any surgical intervention. In addition, malignant transformation can also be diagnosed early with MRI. Thorough knowledge of the possible site involvement and the variability in imaging appearance is a must for an accurate assessment of the disease.\nFindings and procedure details\nEndometriosis is defined as the presence of endometrial tissue outside the uterus. It is a common gynecological disorder, affecting around 10 percent of women of reproductive age; and approximately 5 percent of post-menopausal women, with a history of exogenous estrogen replacement. [1]The ectopic endometrium will undergo various degrees of cyclical hemorrhage due to hormonal stimulation, which will lead to pain and typical appearance. [2]Sites of endometriosis can be:\nIntrapelvic (more frequent): ovaries (most common ); may also involve uterosacral ligaments, cul-de-sac, serosal surfaces, fallopian tube,...\nConclusion\nEndometriosis can have different radiological appearances with predictable and unpredictable sites and can have various close mimickers, so importance lies in presurgical accurate diagnosis for effective management.\nPersonal information and conflict of interest\nS. SHARMA:\nNothing to disclose\nA. Aggarwal:\nNothing to disclose\nS. Manchanda:\nNothing to disclose\nReferences\nBourgioti C, Preza O, Panourgias E, et al. MR imaging of endometriosis: spectrum of disease. Diagnostic and interventional imaging. 2017 Nov 1;98(11):751-67.\nGougoutas CA, Siegelman ES, Hunt J, et al. Pelvic endometriosis: various manifestations and MR imaging findings. American Journal of Roentgenology. 2000 Aug;175(2):353-8.\nCoutinho Jr A, Bittencourt LK, Pires CE, et al. MR imaging in deep pelvic endometriosis: a pictorial essay. Radiographics. 2011 Mar;31(2):549-67.\nWoodward PJ, Sohaey R, Mezzetti Jr TP. Endometriosis: radiologic-pathologic correlation. Radiographics. 2001 Jan;21(1):193-216.\nBennett GL, Slywotzky CM, Cantera M, et...","source_license":"CC0","license_restricted":false}