{"paper_id":"7a9b86f3-2340-4613-a3ec-b1a66d3f6f4f","body_text":"ECR 2012 / C-0372\nDeep pelvic endometriosis: MR imaging with laparoscopic and histologic correlation\nThis poster was previously presented in Spanish at the 2010 Congreso Nacional SERAM (A Coruña)\nCongress:\nECR 2012\nPoster Number:\nC-0372\nType:\nScientific Exhibit\nKeywords:\nAuthors:\nS. Gispert; Barcelona/ES\nDOI:\n10.1594/ecr2012/C-0372\nPurpose\nDeep pelvic endometriosis is defined as subperitoneal infiltration of the endometrial implants in the uterosacral ligaments,\nrectum,\nrectovaginal septum,\nvagina or bladder.\nAccurate preoperative assessment of deep pelvic endometriosis is required for planning complete surgical excision,\nbut such assessment is difficult with physical examination,\nultrasound,\neven with exploratory laparoscopy.\nDespite some limitations,\nmagnetic resonance (MR) imaging is able to directly demonstrate deep pelvic endometriosis.\nThe purpose of this retrospective study was to evaluate the accuracy of MR for the preoperative diagnosis and local staging of...\nMethods and Materials\nAmong a large group of patients referred in our institution to MR study for pelvic endometriosis,\nwe selected 18 patients with histologically confirmed deep pelvic endometriosis.\nWe retrospectively evaluated those studies performed between January 2006 and October 2008 (overall duration 34 months) and compared with the laparoscopic results.\nThe age of the patients ranged from 24 to 47 years (mean age 32).\nAll patients underwent transvaginal ultrasound,\nMR, and laparoscopy.\nWe also reviewed:\n- clinical symptoms\n- surgical history\n- performance of other imaging studies:...\nResults\nThe most frequent clinical symptom was pain.\nThe patients also reported:\n- dysmenorrhoea (12/18)\n- tenesmus and/or pain on defaecation (7/18)\n- sterility (6/18)\n- chronic pelvic pain (5/18)\n- dyspareunia (5/18)\n- dysuria (2/18)\nRegarding previous surgical procedures some patient underwent:\n- adhesiolysis for previous adherences (4/18)\n- bilateral ovarian cystectomy for endometriomas (3/18)\n- ovariectomy and salpinguectomy for endometriosis (1/18)\n- subtotal histerectomy for adenomyosis (1/18)\n- appendicectomy (1/18)\n- cervical uterine conization (1/18)\nAll the patients were evaluated by transvaginal ultrasound.\nAn...\nConclusion\nMR imaging is a useful modality as an adjunct to physical examination and transvaginal and transrectal sonography in evaluation of patients with deep infiltrating endometriosis.\nMR imaging demonstrates high accuracy (90% of success) in the detection of deep implants as well as their extension.\nAll the information offered by MR imaging is useful in planning the best treatment,\nsurgical or medical,\nfor the disease.\nTherefore,\nin our opinion,\nMR imaging may be recommended in preoperative assessment of patients with deep pelvic endometriosis.\nMR imaging is...\nReferences\nC.\nDel Frate,\nR.\nGirometti,\nM.\nPittino,\nG.\nDel Frate, M.\nBazzocchi,\nC.\nZuiani. Deep Retroperitoneal Pelvic Endometriosis: MR Imaging Appearance with Laparoscopic Correlation. RadioGraphics 2006;26:1705-1718.\nBazot M,\nDarai E,\nHourani R.\net al.\nRadiology 2004 Aug;232(2):379-89.Deep pelvic endometriosis: MR imaging for diagnosis and prediction of extension of disease.\nChapron C,\nFauconnier A,\nVieira M,\net al.\nAnatomical distribution of deeply infiltrating endometriosis: surgical implications and proposition for a classification. Hum Reprod 2003; 18:157-161.\nZanardi R,\nDel Frate C,\nZuiani C,\nDel Frate G,\nBazzocchi...\nPersonal Information\nDr.\nSusana Gispert Herrero\nMagnetic Resonance Unit - IDI,\nVall d' Hebron Hospital\n(Barcelona,Spain)\nemail: [email protected]","source_license":"CC0","license_restricted":false}