Endométriose

In: IRM du pelvis de l’homme et de la femme · 2013 · pp. 235–245 · doi:10.1007/978-2-8178-0428-6_17 · W4239783733
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Pelvic endometriosis affects peritoneal, ovarian, and subperitoneal pelvic organs, with diagnosis suggested by clinical exam and confirmed by imaging, particularly MRI.

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This chapter reviews pelvic endometriosis by describing its typical locations (peritoneum, ovaries, and subperitoneal pelvic structures) and explaining how diagnosis is suggested clinically but affirmed by imaging that maps lesion localization and extent. It focuses on the value of pelvic MRI for diagnosis, including recall of MRI techniques and MRI semiology, reporting on diagnostic performance and how MRI fits relative to other imaging modalities. A major caveat is that the chapter frames MRI assessment within the context of comparative diagnostic performance rather than presenting new primary data. This paper is centrally about endometriosis — it is a chapter detailing pelvic MRI techniques, imaging findings, and diagnostic role in pelvic endometriosis.

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Résumé L’endométriose pelvienne touche essentiellement le péritoine, les ovaires et les structures ou organes pelviens situés dans l’espace sous-péritonéal pelvien. Interrogatoire et examen clinique suggèrent le diagnostic qui sera affirmé par diverses méthodes d’imagerie qui déterminent les localisations exactes et l’extension de l’endométriose pelvienne. Dans ce chapitre, la valeur de l’IRM pour le diagnostic de l’endométriose pelvienne sera précisée, après en avoir rappelé sa technique de réalisation, la sémiologie IRM, sa performance diagnostique et sa place par rapport aux autres techniques d’imagerie. Preview Unable to display preview. Download preview PDF. Références Clement MD (2002) Diseases of the peritoneum (including endometriosis). In: Kurman RJ, (ed) Blaustein’s pathology of the female genital tract. Springer-Verlag, 5th ed., New York, p. 729 Nisolle M, Donnez J (1997) Peritoneal endometriosis, ovarian endometriosis, and adenomyotic nodules of the rectovaginal septum are three different entities. Fertil Steril 68: 585–96 Bazot M, Darai E, Hourani R, et al. (2004) Deep pelvic endometriosis: MR imaging for diagnosis and prediction of extension of disease. Radiology 232: 379–89 Chapron C, Chopin N, Borghese B, et al. (2006) Deeply infiltrating endometriosis: pathogenetic implications of the anatomical distribution. Hum Reprod 21: 1839–45 Chapron C, Dubuisson JB, Pansini V, et al. (2002) Routine clinical examination is not sufficient for diagnosing and locating deeply infiltrating endometriosis. J Am Assoc Gynecol Laparosc 9: 115–9 Fauconnier A, Chapron C, Dubuisson JB, et al. (2002) Relation between pain symptoms and the anatomic location of deep infiltrating endometriosis. Fertil Steril 78: 719–26 Duleba AJ (1997) Diagnosis of endometriosis. Obstet Gynecol Clin North Am 24: 331–46 Adamson GD, Nelson HP (1997) Surgical treatment of endometriosis. Obstet Gynecol Clin North Am 24: 375–409 Bazot M, Darai E, Clement de Givry S, et al. (2003) Fast breath-hold T2-weighted MR imaging reduces interobserver variability in the diagnosis of adenomyosis. Am J Roentgenol. 180: 1291–6 Bazot M, Thomassin I, Hourani R, et al. (2004) Diagnostic accuracy of transvaginal sonography for deep pelvic endometriosis. Ultrasound Obstet Gynecol 24: 180–5 Bazot M, Darai E, Biau DJ, et al. (2011) Learning curve of transvaginal ultrasound for the diagnosis of endometriomas assessed by the cumulative summation test (LC-CUSUM). Fertil Steril 95: 301–3 Bazot M, Lafbnt C, Rouzier R, et al. (2009) Diagnostic accuracy of physical examination, transvaginal sonography, rectal endoscopie sonography, and magnetic resonance imaging to diagnose deep infiltrating endometriosis. Fertil Steril 92: 1825–33 Biscaldi E, Ferrero S, Fulcheri E, et al. (2007) Multislice CT enteroclysis in the diagnosis of bowel endometriosis. Eur Radiol 17:211–9 Bazot M, Gasner A, Ballester M, Darai E (2011) Value of thin-section oblique axial T2-weighted images to assess uterosacral ligament endometriosis. Hum Reprod 26: 346–53 Bazot M, Gasner A, Lafont C, et al. (2011) Deep pelvic endometriosis; limited additional diagnostic value of postcontrast in comparison with MR conventional images. Eur J Radiol 80: 331–9 Kinkel K, Chapron C, Balleyguier C, et al. (1999) Magnetic resonance imaging characteristics of deep endometriosis. Hum Reprod 14: 1080–6 Bazot M, Darai E (2005) Sonography and MR imaging for the assessment of deep pelvic endometriosis. J Minim Invasive Gynecol 12: 178–85 Takeuchi H, Kuwatsuru R, Kitade M, et al. (2005) A novel technique using magnetic resonance imaging jelly for evaluation of rectovaginal endometriosis. Fertil Steril 83: 442–7 Chassang M, Novellas S, Bloch-Marcotte C, et al. (2010) Utility of vaginal and rectal contrast medium in MRI for the detection of deep pelvic endometriosis. Eur Radiol 20:1003–10 Redwine DB (1999) Ovarian endometriosis: a marker for more extensive pelvic and intestinal disease. Fertil Steril 72: 310–5 Arrive L, Hricak H, Martin MC (1989) Pelvic endometriosis: MR imaging. Radiology 171: 687–92 Togashi K, Nishimura K, Kimura I, et al. (1991) Endometrial cysts: diagnosis with MR imaging. Radiology 180: 73–8 Outwater E, Schiebler ML, Owen RS, Schnall MD (1993) Characterization of hemorrhagic adnexal lesions with MR imaging: blinded reader study. Radiology 186: 489–94 Zawin M, McCarthy S, Scoutt L, Comite F (1989) Endometriosis: appearance and detection at MR imaging. Radiology 171: 693–6 Sampson JA (1921) Perforating hemorrhagic (chocolate) cysts of the ovary. Their importance and especially their relation to pelvic adenomas of endometrial type. Archives of Surgery 3: 245–323 Clement PB (1995) Nonneoplastic lesions of the ovary In: Kurman RJ (ed) Blaustein’s pathology of the female genital tract. 4th ed. Springer-Verlag, New York, p. 597 Tanaka YO, Yoshizako T, Nishida M, et al. (2000) Ovarian carcinoma in patients with endometriosis: MR imaging findings. AJR Am J Roentgenol 175: 1423–30 Chapron C, Fauconnier A, Vieira M, et al. (2003) Anatomical distribution of deeply infiltrating endometriosis: surgical implications and proposition for a classification. Hum Reprod 18: 157–61 Cornillie FJ, Oosterlynck D, Lauweryns JM, Koninckx PR (1990) Deeply infiltrating pelvic endometriosis: histology and clinical significance. Fertil Steril 53: 978–83 Squifflet J, Feger C, Donnez J (2002) Diagnosis and imaging of adenomyotic disease of the retroperitoneal space. Gynecol Obstet Invest 54 Suppl 1: 43–51 Chapron C, Vieira M, Chopin N, et al. (2004) Accuracy of rectal endoscopic ultrasonography and magnetic resonance imaging in the diagnosis of rectal involvement for patients presenting with deeply infiltrating endometriosis. Ultrasound Obstet Gynecol 24: 175–9 Abrao MS, Goncalves MO, Dias JA, Jr., et al. (2007) Comparison between clinical examination, transvaginal sonography and magnetic resonance imaging for the diagnosis of deep endometriosis. Hum Reprod 22: 3092–7 Chamie LP, Blasbalg R, Goncalves MO, et al. (2009) Accuracy of magnetic resonance imaging for diagnosis and preoperative assessment of deeply infiltrating endometriosis. Int J Gynaecol Obstet 106: 198–201 Saba L, Guerriero S, Sulcis R, et al. (2010) Agreement and reproducibility in identification of endometriosis using magnetic resonance imaging. Acta Radiol 51: 573–80 Darai E, Thomassin I, Barranger E, et al. (2005) Feasibility and clinical outcome of laparoscopic colorectal resection for endometriosis. Am J Obstet Gynecol 192: 394–400 Nguyen BD, Georges NP, Hamper UM, Zerhouni EA (1994) Primary cervicovaginal endometriosis: sonographic findings with MR imaging correlation. J Ultrasound Med 13: 809–11 Chapron C, Liaras E, Fayet P, et al. (2002) Magnetic resonance imaging and endometriosis: deeply infiltrating endometriosis does not originate from the rectovaginal septum. Gynecol Obstet Invest 53: 204–8 Regenet N, Metairie S, Cousin GM, Lehur PA (2001) Colorectal endometriosis. Diagnosis and management. Ann Chir 126: 734–42 Hottat N, Larrousse C, Anaf V, et al. (2009) Endometriosis: contribution of 3.0-T pelvic MR imaging in preoperative assessment—initial results. Radiology 253: 126–34 Zwas FR, Lyon DT (1991) Endometriosis. An important condition in clinical gastroenterology. Dig Dis Sci 36: 353–64 Fein RL, Horton BF (1966) Vesical endometriosis: a case report and review of the literature J Urol 95: 45–50 Donnez J, Spada F, Squifflet J, Nisolle M (2000) Bladder endometriosis must be considered as bladder adenomyosis. Fertil Steril 74: 1175–81 Balleyguier C, Chapron C, Dubuisson JB, et al. (2002) Comparison of magnetic resonance imaging and transvaginal ultrasonography in diagnosing bladder endometriosis. J Am Assoc Gynecol Laparosc 9: 15–23 Fedele L, Piazzola E, Raffaelli R, Bianchi S (1998) Bladder endometriosis: deep infiltrating endometriosis or adenomyosis? Fertil Steril 69: 972–5 Abrao MS, Dias JA, Jr, Bellelis P, et al. (2009) Endometriosis of the ureter and bladder are not associated diseases. Fertil Steril 91: 1662–7 Redwine DB (1987) The distribution of endometriosis in the pelvis by age groups and fertility. Fertil Steril 47: 173–5 Takahashi K, Okada S, Ozaki T, et al. (1994) Diagnosis of pelvic endometriosis by magnetic resonance imaging using “fat-saturation” technique. Fertil Steril 62: 973–7 Outwater EK, Siegelman ES, Chiowanich P, et al. (1998) Dilated fallopian tubes: MR imaging characteristics. Radiology 208: 463–9 Reinhold C, McCarthy S, Bret PM, et al. (1996) Diffuse adenomyosis: comparison of endovaginal US and MR imaging with histopathologic correlation. Radiology 199: 151–8 Reinhold C, Tafazoli F, Wang L (1998) Imaging features of adenomyosis. Hum Reprod Update 4: 337–49 Darai E, Marpeau O, Thomassin I, et al. (2005) Fertility after laparoscopic colorectal resection for endometriosis: preliminary results. Fertil Steril. 84: 945–50 Author information Authors and Affiliations Corresponding author Rights and permissions Copyright information © 2014 Springer-Verlag Paris About this chapter Cite this chapter Bazot, M., Thomassin-Naggara, I., Jarboui, L., Ballester, M., Daraï, É. (2014). Endométriose. In: IRM du pelvis de l’homme et de la femme. Springer, Paris. https://doi.org/10.1007/978-2-8178-0428-6_17 Download citation DOI: https://doi.org/10.1007/978-2-8178-0428-6_17 Publisher Name: Springer, Paris Print ISBN: 978-2-8178-0427-9 Online ISBN: 978-2-8178-0428-6 eBook Packages: MedicineMedicine (R0)

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