Endometriosi, algie pelviche: clinica e imaging

In: Diagnostica per immagini dell’apparato urogenitale · 2008 · pp. 333–346 · doi:10.1007/978-88-470-0669-0_17 · W6024011
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AI-generated summary by claude@2026-07+body, 2026-07-09

This paper discusses endometriosis, a common gynecological disease requiring surgical or histological confirmation, and its deeply infiltrating form (DIE) which affects 30-40% of patients with various pelvic organs.

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The paper discusses endometriosis as one of the most common gynecologic diseases, noting that its epidemiologic profile is still insufficiently known. It frames diagnosis as requiring direct surgical visualization or histologic confirmation, and highlights deep infiltrating endometriosis (DIE), defined as infiltration greater than 5 mm, which occurs in about 30–40% of patients with endometriosis and often involves the uterosacral ligaments, pouch of Douglas, retrocervical tissue, bladder, ureter, vagina, and intestine. A key limitation explicitly reflected in the text is the lack of a widely characterized epidemiology due to diagnostic constraints centered on invasive confirmation. This paper is centrally about endometriosis — it focuses on the clinical characterization of pelvic pain and the role of imaging in diagnosing deep infiltrating endometriosis.

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Estratto L’endometriosi rappresenta una delle più comuni malattie in ambito ginecologico, anche se il suo profilo epidemiologico è tuttora ampiamente sconosciuto. Tale limite deriva dal fatto che la diagnosi di endometriosi, secondo le opinioni cliniche correnti, dovrebbe essere posta attraverso visualizzazione “diretta”, chirurgica, o conferma istologica della malattia. La DIE (deeply infiltrating endometriosis), cioè l’endometriosi che infiltra per più di 5 mm, rappresenta la forma più complicata e sintomatica di tale entità nosologica e si riscontra nel 30-40% delle pazienti affette da endometriosi; coinvolge spesso i legamenti utero-sacrali, il cavo del Douglas, il tessuto retrocervicale, la vescica, l’uretere, la vagina e l’intestino. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Preview Unable to display preview. Download preview PDF. Author information Authors and Affiliations Rights and permissions Copyright information © 2008 Springer-Verlag Italia About this chapter Cite this chapter Ciravolo, G., Rampinelli, F., Morana, G., Guarise, A. (2008). Endometriosi, algie pelviche: clinica e imaging. In: Diagnostica per immagini dell’apparato urogenitale. Springer, Milano. https://doi.org/10.1007/978-88-470-0669-0_17 Download citation DOI: https://doi.org/10.1007/978-88-470-0669-0_17 Publisher Name: Springer, Milano Print ISBN: 978-88-470-0668-3 Online ISBN: 978-88-470-0669-0 eBook Packages: MedicineMedicine (R0)

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