CT- und MR-Enterografie zur Detektion von Endometrioseherden im Darm

Stephanie Gräwert
In: Radiologie up2date · 2025 · vol. 25(01) , pp. 5–6 · doi:10.1055/a-2515-1358 · W4408012018
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This study evaluated whether CT or MR enterography improves the detection of endometriosis lesions in the right-sided colon and distal ileum compared to conventional MRI, where such findings are often difficult to visualize.

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This review article evaluates the utility of computed tomography and magnetic resonance enterography for detecting endometriosis lesions within the intestinal tract. It notes that while deep infiltrating endometriosis most commonly affects the rectum, it can rarely involve the appendix, cecum, or distal ileum, areas where detection via standard MRI is challenging. The study aims to determine whether these specific cross-sectional imaging modalities offer superior visualization for lesions located in the right-sided segments of the bowel compared to conventional methods. This paper is centrally about endometriosis — specifically the radiological detection of deep infiltrating endometriosis involving the gastrointestinal tract.

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Abstract

Die tief infiltrierende Endometriose kann alle Bauch- und Beckenorgane betreffen. Am häufigsten finden sich die Endometrioseherde im Rektum, jedoch eher selten in Appendix, Coecum oder distalem Ileum. Doch gerade dort sind sie im MRT schwierig zu detektieren. Ziel der vorliegenden Studie war es, herauszufinden, ob sich Endometrioseherde in den rechtsseitigen Darmanteilen mit der CT- bzw. MR-Enterografie besser darstellen lassen.
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Radiologie up2date 2025; 25(01): 5-6 DOI: 10.1055/a-2515-1358 DOI: 10.1055/a-2515-1358 Studienreferate CT- und MR-Enterografie zur Detektion von Endometrioseherden im Darm Authors Die tief infiltrierende Endometriose kann alle Bauch- und Beckenorgane betreffen. Am häufigsten finden sich die Endometrioseherde im Rektum, jedoch eher selten in Appendix, Coecum oder distalem Ileum. Doch gerade dort sind sie im MRT schwierig zu detektieren. Ziel der vorliegenden Studie war es, herauszufinden, ob sich Endometrioseherde in den rechtsseitigen Darmanteilen mit der CT- bzw. MR-Enterografie besser darstellen lassen. Publication History Article published online: 27 February 2025 © 2025. Thieme. All rights reserved. Georg Thieme Verlag KG Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany

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