{"paper_id":"99c42211-6dbf-40fd-b8f8-5769bb77dc85","body_text":"ECR 2013 / C-1810\nDirect And Indirect Imaging Findings In The Diagnosis Of Ovarian Endometriosis\nCongress:\nECR 2013\nPoster Number:\nC-1810\nType:\nEducational Exhibit\nKeywords:\nEndocrine disorders, Cysts, Technical aspects, Surgery, Diagnostic procedure, Ultrasound, MR, Genital / Reproductive system female\nAuthors:\nB. C. A. Teixeira, A. C. Teixeira, G. C. A. Teixeira, M. Zapparoli; Curitiba/BR\nDOI:\n10.1594/ecr2013/C-1810\nLearning objectives\nOvarian endometriosis is the most common form of endometriosis and an important cause of infertility and pelvic pain in women at reproductive age.\nTransvaginal ultrasonography (TVUS) is often the first examination ordered after clinical suspicion of endometriosis and plays an important role in its correct diagnosis.\nWe propose to attend these objectives:\nTo describe TVUS examination technique and imaging findings of ovarian endometriosis based on a series of 50 consecutive patients with laparoscopic and/or histopathological proved diagnosis.\nTo ilustrate the direct and indirect imaging findings...\nBackground\nEndometriosis is defined by the presence of functional endometrial glands and stromal elements outside the uterine cavity,\nleading to chronic inflammatory changes and adhesions that impact the reproductive cycle.\nOvarian endometriosis is the most common form of endometriosis and an important cause of infertility and pelvic pain in women at reproductive age.\nTVUS is often the first examination ordered after clinical suspicion and plays an important role in its correct diagnosis.\nTo date,\nthe gold standard of diagnosis is direct visualization of lesions with histological...\nImaging findings OR Procedure details\nTRANSVAGINAL ULTRASONOGRAPHY\nTVUS with endocavitary transducer of 9-5 MHz was generally employed and patients assumed standard gynecologic positioning to enable required maneuvers.\nTVUS protocol called for mapping of the entire pelvis,\nevaluating uterus,\novaries,\nadnexa,\nretrocervical region,\nand posterior fornix.\nThe most frequent imaging finding was ovarian endometriomas (85%) with sizes ranging from 10 to 92 mm (mean size 26 mm).\nIndirect findings such as ovarian adhesions (59%),\nperiadnexal fluid collections (29%) and hyperechoic foci of the cyst wall (15%) were also present and relevant...\nConclusion\nBeyond the classic endometriotic cysts other imaging findings can suggest the diagnosis of ovarian endometriosis.\nIn this study,\nindirect findings such as ovarian adhesions,\nperiadnexal fluid collections and hyperechoic foci of the cyst wall were associated with the disease and helpfull in the diagnosis of early stage endometriosis mainly when in combination with small endometriomas.\nReferences\nPatel MD,\nFeldstein VA,\nChen DC,\nLipson SD,\nFilly RA.\nEndometriomas: diagnostic performance of US.\nRadiology 1999 Mar;210(3):739–45.\nVan Holsbeke C,\nVan Calster B,\nGuerriero S,\nSavelli L,\nPaladini D,\nLissoni AA,\net al.\nEndometriomas: their ultrasound characteristics.\nUltrasound Obstet Gynecol 2010 Jun;35(6):730–40.\nEskenazi B,\nWarner M,\nBonsignore L,\nOlive D,\nSamuels S,\nVercellini P.\nValidation study of nonsurgical diagnosis of endometriosis.\nFertil Steril.\n2001 Nov; 76(5):929–35.\nBrown DL,\nFrates MC,\nMuto MG,\nWelch WR.\nSmall echogenic foci in the ovaries: correlation with histologic findings....\nPersonal Information\nDepartment of Radiology,\nHospital de Clínicas da Universidade Federal do Paraná,\nCuritiba,\nBrazil.\nDAPI (Advanced Diagnostic Imaging),\nCuritiba,\nParaná,\nBrazil.\nBernardo C.\nA.\nTeixeira.\nContact: [email protected]","source_license":"CC0","license_restricted":false}