Antero-, Medio-, and Posterolateral Compartments: Parametrium

Cyril Touboul, Isabelle Thomassin‐Naggara, Yohann Dabi, Émile Daraï, Pascal Rousset
In: Imaging of Endometriosis: A Comparative Guide of US, MRI and Surgery · 2025 · pp. 187–209 · doi:10.1007/978-3-031-82750-1_10 · W4410897481
book-chapter OA: closed CC0
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-07 ⓘ

This chapter describes the classical and surgical anatomy of the anterolateral, mediolateral, and posterolateral parametrium, including radiological definitions and imaging aspects.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 ⓘ

This paper describes the anatomy, surgical anatomy, radiological definitions, and radiology–surgery correlations of the lateral compartment of endometriosis, focusing on the anterolateral, mediolateral, and posterolateral parametrium and its relationships with structures such as the ureter, uterine and hypogastric arteries, and pelvic nerves/plexus. It emphasizes that surgical dissection may produce discrepancies versus classical anatomy and highlights that parametrectomy carries a high risk of postoperative complications, including ureteral injury and urinary or anorectal dysfunction from nerve injury. A key limitation is that the chapter is primarily a comparative anatomical/imaging guide rather than presenting new patient outcome data. This paper is centrally about endometriosis — it provides compartment-based anatomical and imaging guidance for the lateral parametrium relevant to deep infiltrating endometriosis and surgical planning.

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