Deep Endometriosis by Location

In this chapter, we make a detailed description of the pelvic anatomical landmarks and the morphologic appearance of the deep endometriotic lesions of the anterior (bladder, distal ureter, round ligaments, and anterior myometrium), posterior (retrocervical region, rectovaginal space, uterosacral ligaments), and lateral (hypogastric nerves, parametrium, ovarian fossa, and pelvic floor). We also describe other locations such as cesarean scar line, umbilicus, inguinal region or canal of Nuck, appendix, cecum and terminal ileum, and the diaphragm. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

Schneider A, Touloupidis S, Papatsoris A, Triantafyllidis A, Kollias A, Schweppe K. Endometriosis of the urinary tract in women of reproductive age. Int J Urol. 2006;13:902–4. Denes FT. Ureteral endometriosis. Int Urol Nephrol. 1980;12:205–9. Chapron C. Deeply infiltrating endometriosis: pathogenetic implications of the anatomical distribution. Hum Reprod. 2006;21:1839–45. Chapron C, Bourret A, Chopin N, Dousset B, Leconte M, Amsellem-Ouazana D, de Ziegler D, Borghese B. Surgery for bladder endometriosis: long-term results and concomitant management of associated posterior deep lesions. Hum Reprod. 2010;25:884–9. Vercellini P, Chapron C, Fedele L, Gattei U, Daguati R, Crosignani P. Review: evidence for asymmetric distribution of lower intestinal tract endometriosis. BJOG. 2004;111:1213–7. Vercellini P, Pisacreta A, Pesole A, Vicentini S, Stellato G, Crosignani P. Is ureteral endometriosis an asymmetric disease? BJOG. 2000;107:559–61. Piketty M, Chopin N, Dousset B, Millischer-Bellaische A, Roseau G, Leconte M, Borghese B, Chapron C. Preoperative work-up for patients with deeply infiltrating endometriosis: transvaginal ultrasonography must definitely be the first-line imaging examination. Hum Reprod. 2008;24:602–7. Bazot M, Darai E, Hourani R, Thomassin I, Cortez A, Uzan S, Buy J. Deep pelvic endometriosis: MR imaging for diagnosis and prediction of extension of disease. Radiology. 2004;232:379–89. Crispi C. Tratado de Videoendoscopia e Cirurgia minimamente invasiva em Ginecologia. 5th ed. Rio de Janeiro: Revinter; 2011. Gabriel B, Nassif J, Trompoukis P, Barata S, Wattiez A. Prevalence and management of urinary tract endometriosis: a clinical case series. Urology. 2011;78:1269–74. Abrão M, Gonçalves M, Dias J Jr, Podgaec S, Chamie L, Blasbalg R. Comparison between clinical examination, transvaginal ultrasonography and magnetic resonance imaging for the diagnosis of pelvic endometriosis. Hum Reprod. 2007;22:3092. Maccagnano C, Pellucchi F, Rocchini L, Ghezzi M, Scattoni V, Montorsi F, Rigatti P, Colombo R. Ureteral endometriosis: proposal for a diagnostic and therapeutic algorithm with a review of the literature. Urol Int. 2013;91:1–9. Takagi H. Novel medical management of primary bladder endometriosis with dienogest: a case report. Clin Exp Obstet Gynecol. 2011;38:184–5. Harada M, Osuga Y, Izumi G, Takamura M, Takemura Y, Hirata T, Yoshino O, Koga K, Yano T, Taketani Y. Dienogest, a new conservative strategy for extragenital endometriosis: a pilot study. Gynecol Endocrinol. 2010;27:717–20. Pérez M, Bazán A, Alonso Dorrego J, Hernández A, de Francisco M, Hernández M, de Santiago J, de la Peña Barthel J. Urinary tract endometriosis: clinical, diagnostic, and therapeutic aspects. Urology. 2009;73:47–51. Fedele L, Bianchi S, Zanconato G, Bergamini V, Berlanda N, Carmignani L. Long-term follow-up after conservative surgery for bladder endometriosis. Fertil Steril. 2005;83:1729–33. Crispi C, de Souza C, Oliveira M, Dibi R, Cardeman L, Sato H, Schor E. Endometriosis of the round ligament of the uterus. J Minim Invasive Gynecol. 2012;19:46–51. Claudon M. The normal ureter. In: Soulie M, Otal P, Joffre F, editors. Radiological imaging of the ureter. Berlin: Springer; 2003. p. 21–36. Kunz G. Adenomyosis in endometriosis—prevalence and impact on fertility. Evidence from magnetic resonance imaging. Hum Reprod. 2005;20:2309–16. Busard M, Mijatovic V, Lüchinger A, Bleeker M, Pieters-van den Bos I, Schats R, van Kuijk C, Hompes P, van Waesberghe J. MR imaging of bladder endometriosis and its relationship with the anterior uterine wall: experience in a tertiary referral centre. Eur J Radiol. 2012;81:2106–11. Bennett G, Slywotzky C, Cantera M, Hecht E. Unusual manifestations and complications of endometriosis—spectrum of imaging findings: pictorial review. Am J Roentgenol. 2010;194:WS34–46. Grasso R, Di Giacomo V, Sedati P, Sizzi O, Florio G, Faiella E, Rossetti A, Del Vescovo R, Beomonte Z. Diagnosis of deep infiltrating endometriosis: accuracy of magnetic resonance imaging and transvaginal 3D ultrasonography. Abdom Imaging. 2009;35:716–25. Halim A. Human anatomy female pelvis and breast; 2003. 54. Mashfiqul M. Endometriosis of the inguinal canal mimicking a hernia. Singap Med J. 2007;48:157–9. Habiba M, Benagiano G. The incidence and clinical significance of adenomyosis. In: Habiba M, editor. Uterine adenomyosis. New York: Springer; 2016. p. 9–43. Novellas S, Chassang M, Bouaziz J, Delotte J, Toullalan O, Chevallier E. Anterior pelvic endometriosis: MRI features. Abdom Imaging. 2010;35:742–9. Chamié L, Blasbalg R, Pereira R, Warmbrand G, Serafini P. Findings of pelvic endometriosis at transvaginal US, MR imaging, and laparoscopy. Radiographics. 2011;31:E77–E100. Woodward P, Sohaey R, Mezzetti T. Endometriosis: radiologic-pathologic correlation. Radiographics. 2001;21:193–216. Pranay R. Laparoscopic management of moderate: severe endometriosis. J Minim Access Surg. 2014;10:27–33. Luterek K, Barcz E, Bablok L, Wierzbicki Z. Giant recurrent perineal endometriosis in an episiotomy scar—a case report. Polish Gynaecol. 2013;84:726–9. Odobasic A, Pasic A, Iljazovic-Latifagic E, Arnautalic L, Odobasic A, Idrizovic E, Dervisefendic M, Dedić L. Perineal endometriosis: a case report and review of the literature. Tech Coloproctol. 2010;14:25–7. Vimercati A, Achilarre M, Scardapane A, Lorusso F, Ceci O, Mangiatordi G, Angelelli G, Van Herendael B, Selvaggi L, Bettocchi S. Accuracy of transvaginal sonography and contrast-enhanced magnetic resonance-colonography for the presurgical staging of deep infiltrating endometriosis. Ultrasound Obstet Gynecol. 2012;40:592–603. Chapron C, Santulli P, de Ziegler D, Noel J, Anaf V, Streuli I, Foulot H, Souza C, Borghese B. Ovarian endometrioma: severe pelvic pain is associated with deeply infiltrating endometriosis. Hum Reprod. 2012;27:702–11. Clement M. Diseases of the peritoneum. In: Kurman R, editor. Blaustein’s pathology of the female genital tract. New York: Springer; 2002. p. 729–89. Brandão A, Ianez P. MR imaging of the pelvic floor: defecography. Magn Reson Imaging Clin N Am. 2013;21:427–45. Thomas E, Cooke I. Impact of gestrinone on the course of asymptomatic endometriosis. BMJ (Clin Res Ed). 1987;294:272–4. Milley P, Nichols D. A correlative investigation of the human rectvaginal septum. Obstet Gynecol Surv. 1969;24:1288–91. Abrão M. Tratamento cirúrgico na endometriose: quando e como fazer. In: Abrão M, editor. Endometriose: uma visão contemporânea. Rio de Janeiro: Revinter; 2000. p. 137–47. Fauconnier A, Chapron C, Dubuisson J, Vieira M, Dousset B, Bréart G. Relation between pain symptoms and the anatomic location of deep infiltrating endometriosis. Fertil Steril. 2002;78:719–26. Fedele L, Bianchi S, Zanconato G, Raffaelli R, Berlanda N. Is rectovaginal endometriosis a progressive disease? Am J Obstet Gynecol. 2004;191:1539–42. Vu D. Surgical anatomy of the uterosacral ligament. Int Urogynecol J. 2010;21:1123–8. Anaf V, Simon P, Nakadi I, Simonart T, Noel J, Buxant F. Impact of surgical resection of rectovafinal pouch of douglas endometriotic nodules on pelvic pain and some elements of patients’ sex life. J Am Assoc Gynecol Laparosc. 2001;8:55–60. Del Frate C, Girometti R, Pittino M, Del Frate G, Bazzocchi M, Zuiani C. Deep retroperitoneal pelvic endometriosis: MR imaging appearance with laparoscopic correlation. Radiographics. 2006;26:1705–18. Bazot M, Gasner A, Ballester M, Darai E. Value of thin-section oblique axial T2-weighted magnetic resonance images to assess uterosacral ligament endometriosis. Hum Reprod. 2010;26:346–53. Kondo W, Ribeiro R, Trippia C, Zomer M. Deep infiltrating endometriosis: anatomical distribution and surgical treatment. Rev Bras Ginecol Obstet. 2012;34:278–84. Fritsch H. Clinical anatomy of the female pelvis. In: Hamm B, Forstner R, editors. MRI and CT of the female pelvis. New York: Springer; 2007. p. 1–24. Schafer A, Langer M. MRI of rectal cancer. In: Schafer AO, editor. Anorectal anatomy. Clinical implications for MR radiologist. New York: Springer; 2010. p. 5–13. Brown G, Kirkham A, Williams G, Bourne M, Radcliffe A, Sayman J, Newell R, Sinnatamby C, Heald R. High-resolution MRI of the anatomy important in total mesorectal excision of the rectum. Am J Roentgenol. 2004;182:431–9. Weed J, Ray J. Endometriosis of the bowel. Obstet Gynecol. 1987;69:727. Remorgida V, Ferrero S, Fulcheri E, Ragni N, Martin D. Bowel endometriosis: presentation, diagnosis, and treatment. Obstet Gynecol Surv. 2007;62:461–70. Pisanu A, Deplano D, Angioni S, Ambu R, Uccheddu A. Rectal perforation from endometriosis in pregnancy: case case report and literature review. World J Gastroenterol. 2010;16:648–51. Remorgida V, Ragni N, Ferrero S, Anserini P, Torelli P, Fulcheri E. The involvement of the interstitial Cajal cells and the enteric nervous system in bowel endometriosis. Hum Reprod. 2004;20:264–71. Ferrero S, Haas S, Remorgida V, Camerini G, Fulcheri E, Ragni N, Straub R, Capellino S. Loss of sympathetic nerve fibers in intestinal endometriosis. Fertil Steril. 2010;94:2817–9. Seracchioli R, Mabrouk M, Guerrini M, Manuzzi L, Savelli L, Frascà C, Venturoli S. Dyschezia and posterior deep infiltrating endometriosis: analysis of 360 cases. J Minim Invasive Gynecol. 2008;15:695–9. Yoon J, Choi D, Jang K, Kim C, Kim H, Lee S, Chun H, Lee W, Yun S. Deep rectosigmoid endometriosis: “mushroom cap” sign on T2-weighted MR imaging. Abdom Imaging. 2010;35:726–31. De Anchorena M. Bowel endometriosis. Prensa Méd Argent. 1999;86:746–54. Garcia A, Spadoni Neto B, Garcia V, Arruda P, Garcia D. Colonic endometriosis simulating colorectal cancer: report of 2 cases. Revista Brasileira de Coloproctologia. 2006;26:316–20. Guerra G. Endometriose de Reto: Relato de Caso. Revista Brasileira de Coloproctologia. 2004;24:354–7. Oliveira M, Crispi C, Oliveira F, Junior P, Raymundo T, Pereira T. Double circular stapler technique for bowel resection in rectosigmoid endometriosis. J Minim Invasive Gynecol. 2014;21:136–41. Smith J. An atlas of gynecologic oncology; 2003. 82. Ceccaroni M, Clarizia R, Alboni C, Ruffo G, Bruni F, Roviglione G, Scioscia M, Peters I, De Placido G, Minelli L. Laparoscopic nerve-sparing transperitoneal approach for endometriosis infiltrating the pelvic wall and somatic nerves: anatomical considerations and surgical technique. Surg Radiol Anat. 2010;32:601–4. Cottier J. Sciatic endometriosis: MR evaluation. Am J Neuroradiol. 1995;16:1399–401. Manganaro L, Porpora M, Vinci V, et al. Diffusion tensor imaging and tractography to evaluate sacral nerve root abnormalities in endometriosis-related pain: a pilot study. Eur Radiol. 2013;24:95–101. Stoker J, Taylor S, DeLancey J. Imaging pelvic floor disorders, vol. 153. New York: Springer; 2008. Brandão A, Werner H Jr, Daltro P. Ressonância Magnética em obstetrícia e ginecologia. Rio de Janeiro: Revinter; 2003. Shaw R. Atlas of endometriosis; 1993. 25. Hassanin-Negila A. Endometriomas of the abdominal wall: imaging findings. J Radiol. 2006;87:1691–5. Zhao X, Lang J, Leng J, Liu Z, Sun D, Zhu L. Abdominal wall endometriomas. Int J Gynecol Obstet. 2005;90:218–22. Kaunitz A. Needle tract endometriosis: an unusual complication of amniocentesis. Obstet Gynecol. 1979;54:753–5. Oliveira M, de Leon A, Freire E, de Oliveira H. Risk factors for abdominal scar endometriosis after obstetric hysterotomies: a case-control study. Acta Obstet Gynecol Scand. 2007;86:73–80. Horton H, Dezee K, Ahnfeldt E, Wagner M. Abdominal wall endometriosis: a surgeon’s perspective and review of 445 cases. Am J Surg. 2008;196:207–12. Hartigan C, Holloway B. MR imaging features of endometriosis at the umbilicus. Br J Radiol. 2005;78:755–7. Yang D. Inguinal endometriosis presenting as a multicystic mass on sonography. JUM. 2007;26:1449–51. Kirkpatrick A, Reed C, Bui-Mansfield L, Russell M, Whitford W. Radiologic-pathologic conference of Brooke Army Medical Center: endometriosis of the canal of Nuck. AJR. 2006;186:56–7. Snell R. Clinical anatomy, 7th ed; 2004. p. 215–7. De Ceglie A. Acute small bowel obstruction caused by endometriosis: a case report and review of the literature. World J Gastroenterol. 2008;14:3430–4. Karaman K, Pala E, Bayol U, Akman O, Olmez M, Unluoglu S, Ozturk S. Endometriosis of the terminal ileum: a diagnostic dilemma. Case Rep Pathol. 2012;2012:1–4. Tsuda M, Yamashita Y, Azuma S, Akamatsu T, Seta T, Urai S, Uenoyama Y, Deguchi Y, Ono K, Chiba T. Mucocele of the appendix due to endometriosis: a rare case report. World J Gastroenterol. 2013;19:5021–4. Kaemmerer E, Westerkamp M, Kasperk R, Niepmann G, Scherer A, Gassler N. Coincidence of active Crohn’s disease and florid endometriosis in the terminal ileum: a case report. World J Gastroenterol. 2013;19:4413–7. Ridha J, Cassaro S. Acute small bowel obstruction secondary to ileal endometriosis: report of a case. Surg Today. 2003;33:944–7. Hapke M, Bigelow B. Mucocele of the appendix secondary to obstruction by endometriosis. Hum Pathol. 1977;8:585–9. Ceccaroni M, Roviglione G, Rosenberg P, et al. Pericardial, pleural and diaphragmatic endometriosis in association with pelvic peritoneal and bowel endometriosis: a and review of the literature. Wideochir Inne Tech Maloinwazyjne. 2012;7:122–31. Jubanyik K, Comite F. Extrapelvic endometriosis. Obstet Gynecol Clin N Am. 1997;24:411–40. Wolthuis A, Aelvoet C, Bosteels J, Vanrijkel J. Diaphragmatic endometriosis: diagnosis and surgical management—a case report. Acta Chir Belg. 2003;103:519–20. Rousset P, Gregory J, Rousset-Jablonski C, Hugon-Rodin J, Regnard JF, Chapron C, Coste J, Golfier F, Revel MP. MR diagnosis of diaphragmatic endometriosis. Eur Radiol. 2016;26(11):3968–77. Author information Authors and Affiliations Editor information Editors and Affiliations Rights and permissions Copyright information © 2018 The Author(s) About this chapter Cite this chapter Brandão, A., Crispi, C.P., Oliveira, M.A.P. (2018). Deep Endometriosis by Location. In: Brandão, A., Crispi, C., Oliveira, M. (eds) Atlas of Deep Endometriosis. Springer, Cham. https://doi.org/10.1007/978-3-319-71697-8_4 Download citation DOI: https://doi.org/10.1007/978-3-319-71697-8_4 Published: Publisher Name: Springer, Cham Print ISBN: 978-3-319-71696-1 Online ISBN: 978-3-319-71697-8 eBook Packages: MedicineMedicine (R0)

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