Case Report: Three-Dimensional Printed Model for Deep Infiltrating Endometriosis

Mobolaji O. Ajao, Ajao MO, Clark NV, Nisse V. Clark, Tatiana Kelil, Kelil T, Sarah L. Cohen, Cohen SL, Jon I. Einarsson, Einarsson JI
Journal of Minimally Invasive Gynecology · 2017 · vol. 24(7) , pp. 1239–1242 · doi:10.1016/j.jmig.2017.06.006 · PMID:28634015 · W2643061745
article OA: closed CC0 ⤵ 7 in-corpus citations
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A 3D printed model generated from a patient's MRI accurately depicted deep infiltrating endometriosis, showing its spatial relationship to surrounding tissues and potentially aiding surgical planning.

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Abstract

The combination of a thorough physical examination and imaging with either magnetic resonance imaging (MRI) or pelvic ultrasound are important in the preoperative planning for deep infiltrating endometriosis (DIE). A 2-dimensional (2D) rendering of the pathology by imaging does not always accurately represent intraoperative findings. The detailed topographical relationship and extent of surrounding tissue invasion can be better appreciated by 3-dimensional (3D) modeling. A 49-year-old patient with history of endometriosis and persistent pain underwent preoperative MRI that showed features consistent with DIE endometriosis. Surgery was performed, and the findings were documented. A 3D printed model of the DIE was generated from the MRI and retrospectively compared with intraoperative findings. The 3D model demonstrated both the laterality and spatial relationship of the endometriotic nodule to the posterior uterine wall and rectum. Three-dimensional printing of DIE may be a beneficial adjunct to 2D imaging and can identify further structural relationships to support surgical planning.

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Condition tags

endometriosisdie_deep_infiltrating

MeSH descriptors

Endometriosis Intestinal Diseases Models, Anatomic Printing, Three-Dimensional Uterine Diseases Endometriosis Female Humans Intestinal Diseases Magnetic Resonance Imaging Middle Aged Uterine Diseases

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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