{"paper_id":"e8ca7b33-4b17-4fa7-b86d-9f1dc39997a7","body_text":"ECR 2017 / C-2230\nA pictorial review of pelvic endometriosis in MRI\nThis poster is published under an open license. Please read the disclaimer for further details.\nCongress:\nECR 2017\nPoster Number:\nC-2230\nType:\nEducational Exhibit\nKeywords:\nPelvis, Abdomen, Anatomy, MR, Diagnostic procedure, Surgery, Pathology, Cysts\nAuthors:\nM. A. Haouari1, O. Ghdes1, I. Kasraoui2, A. Ali1, I. Naccache1, A. Ben Miled1, N. Mnif1; 1Tunis/TN, 2BIZERTA, BI/TN\nDOI:\n10.1594/ecr2017/C-2230\nLearning objectives\nThe purpose of this Educational Exhibit is to:\nIndicate the MRI protocol performed in the exploration of pelvic endometriosis.\nReview the MRI findings in pelvic endometriosis and illustrate its different aspects in its various pelvic locations using a compartmental subdivision of the pelvis.\nBackground\nEndometriosis is a common chronic condition that occurs in women of childbearing age.\nIt’s defined as ectopic endometrial tissue outside the uterine cavity.\nIt usually causes debilitating abdominal pain and may be responsible of infertility.\nThe reference examination for diagnostic confirmation of the pelvic endometriosis is the histological examination of samples provided by laparoscopic biopsy.\nMRI is the imaging test of choice in pelvic endometriosis.\nIt allows the detection of this pathology and allows precise lesion cartography,\nwhich is the only guarantee of a complete...\nFindings and procedure details\nPatients were referred to us by gynecologists for suspected pelvic endometriosis.\nThey have been explored by pelvic MRI.\nThis allowed us to make the diagnosis of endometrioma,\nadenomyosis,\nsuperficial and deep pelvic endometriosis.\nThese MRI allowed us to illustrate the different locations of pelvic endometriosis.\n1.\nMR protocol:\nIt is preferable to perform the MRI during a painful period at the beginning of the cycle,\ndue to the hemorrhagic nature of the endometriosis lesions.\nThe use of antiperistaltic medication is useful to limit digestive artefacts...\nConclusion\nThe use of MRI is validated in the assessment of deep endometriosic implants.\nThe subdivision of the feminine pelvis into compartments facilitates lesion analysis and mapping of the deep pelvic endometriosis.\nReferences\nReviewed bibliography:\nCoutinho Jr A,\nBittencourt LK,\nPires CE,\nJunqueira F,\nde Oliveira Lima CM,\nCoutinho E,\nDomingues MA,\nDomingues RC,\nMarchiori E.\nMR imaging in deep pelvic endometriosis: a pictorial essay.\nRadiographics.\n2011 Mar 7;31(2):549-67.\nKinkel K,\nFrei KA,\nBalleyguier C,\nChapron C.\nDiagnosis of endometriosis with imaging: a review.\nEuropean radiology.\n2006 Feb 1;16(2):285-98.\nDallaudière B,\nSalut C,\nHummel V,\nPouquet M,\nPiver P,\nRouanet JP,\nMaubon A.\nMRI atlas of ectopic endometriosis.\nDiagnostic and interventional imaging.\n2013 Mar 31;94(3):263-80","source_license":"CC0","license_restricted":false}