Schwere Dysmenorrhö im Jugendalter: Häufig steckt eine Endometriose dahinter

Judith Lorenz
In: Geburtshilfe und Frauenheilkunde · 2023 · vol. 83(07) , pp. 782 · doi:10.1055/a-2080-4545 · W4382933441
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This study investigated the frequency of ovarian endometriomas and deep infiltrating endometriosis in adolescents with severe dysmenorrhea using magnetic resonance imaging (MRI).

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This brief commentary highlights the diagnostic challenges associated with endometriosis in adolescents, noting that severe dysmenorrhea often goes unrecognized for years due to the reliance on laparoscopy as the gold standard. It discusses how magnetic resonance imaging can serve as a valuable non-invasive tool to identify ovarian endometriomas and deep infiltrating lesions when clinical suspicion is high. The text emphasizes the importance of early detection through advanced imaging techniques to potentially improve outcomes for young patients suffering from these symptoms. This paper is centrally about endometriosis — specifically focusing on its diagnosis via MRI in teenagers presenting with severe dysmenorrhea.

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Abstract

Eine Endometriose wird in vielen Fällen erst Jahre nach dem Symptombeginn erkannt – unter anderem deshalb, weil nach wie vor die Laparoskopie mit Biopsie als Diagnose-Goldstandard gilt. Bei einem klinischen Verdacht kann allerdings auch die Bildgebung zur Diagnose führen. Wie häufig stellen sich bei Teenagern mit schwerer Dysmenorrhö magnetresonanztomografisch (MRT) ovarielle Endometriome bzw. tief infiltrierende Endometrioseherde dar?
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Subscribe to RSS Please copy the URL and add it into your RSS Feed Reader. https://www.thieme-connect.de/rss/thieme/en/10.1055-s-00000020.xml Geburtshilfe Frauenheilkd 2023; 83(07): 782 DOI: 10.1055/a-2080-4545 DOI: 10.1055/a-2080-4545 GebFra Magazin Aktuell referiert Schwere Dysmenorrhö im Jugendalter: Häufig steckt eine Endometriose dahinter Authors Eine Endometriose wird in vielen Fällen erst Jahre nach dem Symptombeginn erkannt – unter anderem deshalb, weil nach wie vor die Laparoskopie mit Biopsie als Diagnose-Goldstandard gilt. Bei einem klinischen Verdacht kann allerdings auch die Bildgebung zur Diagnose führen. Wie häufig stellen sich bei Teenagern mit schwerer Dysmenorrhö magnetresonanztomografisch (MRT) ovarielle Endometriome bzw. tief infiltrierende Endometrioseherde dar? Publication History Article published online: 03 July 2023 © 2023. Thieme. All rights reserved. Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, Germany

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