Radiological diagnosis of endometriomas in young women with chronic pelvic pain

Chronic pelvic pain is a symptom that may represent a disease in a specific organ system, a chronic pain syndrome, or both. Endometriosis is one of the local diseases that cause chronic pelvic pain. Sometimes their diagnosis can become a real challenge. This article presents a series of five cases with clinical and radiological diagnosis of endometriosis, with the aim of describing the most frequent symptoms, signs and radiological findings. Chronic pain in the lower abdomen and lesions of different aspects were identified as a common symptom, although fundamentally cystic, located in the pelvic organs, and identified by ultrasound and pelvic magnetic resonance imaging. The latter technique was the most sensitive for the non-invasive diagnosis of this entity. The updated literature review showed similar findings in works by other authors.