Computed Tomography of Endometriosis
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Computed tomography detected pelvic masses due to endometriosis in six women, presenting varied findings including masses and bowel wall implants not always visible by ultrasound.
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Abstract
Six examples of pelvic masses due to endometriosis were detected by computed tomography (CT) in a group of women aged 30-43. Lower abdominal or pelvic pain was the chief complaint in four cases. The ileum and rectosigmoid were routinely opacified with contrast material prior to examination. Endometriosis exhibited a variety of findings including a constricting rectosigmoid mass, a lesion of the pelvic side wall, bowel wall implants, and posthysterectomy pelvic masses. There was no standard CT density; the lesion near the pelvic side wall appeared solid, one cul-de-sac mass appeared solid, and a second had a mixed cystic and solid appearance. Discrete adnexal endometriosis appeared as thick-walled cystic masses (two cases) or as a simple cyst (one case). Bowel wall involvement and the pelvic side wall lesion were not successfully identified by ultrasound. It is concluded that CT can play a role in the diagnosis of endometriosis.
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Cited by (39)
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- Nongynecological endometriosis presenting as an acute abdomen 2012
- CT Imaging Findings of Ruptured Ovarian Endometriotic Cysts: Emphasis on the Differential Diagnosis with Ruptured Ovarian Functional Cysts 2011
- Case 206 2010
- Endometriosis Involving the Gastrointestinal Tract 2010
- Endometriosis of the Diaphragm: Four Cases Treated with a Combination of Laparoscopy and Thoracoscopy 2009
- Acute small bowel obstruction caused by endometriosis: A case report and review of the literature 2008
- Extraperitoneal endometriosis as a differential diagnosis of an inguinal lump 2007
- Multislice CT enteroclysis in the diagnosis of bowel endometriosis 2006
- Bowel endometriosis: CT-enteroclysis 2006
- Pulmonary endometriosis: Diagnosis with computed tomography and high resolution computed tomography (HRCT) 2005
- REVIEW: Evidence for asymmetric distribution of lower intestinal tract endometriosis 2004
- Cyclic sciatica caused by infiltrative endometriosis: MRI findings 2004
- Abdominal wall endometriosis: comparative imaging on power Doppler ultrasound and MRI 2004
- Evidence for asymmetric distribution of sciatic nerve endometriosis 2003
- Evidence for Asymmetric Distribution of Sciatic Nerve Endometriosis 2003
- Laparoscopic Findings, Management, Histopathology, and Outcomes in 25 Women with Cyclic Leg Pain 2002
- Caesarean section scar endometriosis: two cases of recurrent disease and a literature review 2002
- Incisional endometriosis: an underappreciated diagnosis in general surgery1 2000
- CT diagnosis of perihepatic endometriosis complicated by malignant transformation 1998
- Acute small bowel obstruction caused by endometriosis. 1996
- Endometriosis of the extraperitoneal portion of the round ligament: US and CT findings 1996
- Sciatic endometriosis: MR evaluation. 1995
- Endometriosis of the sciatic nerve: case report demonstrating the value of MR imaging 1995
- Endometriosis of the sciatic nerve: case report demonstrating the value of MR imaging 1995
- Endometriosis: Appearance and detection with conventional and contrast‐enhanced fat‐suppressed spin‐echo techniques 1995
- Diagnosis of pelvic endometriosis by magnetic resonance imaging using “fat-saturation” technique 1994
- 4 Markers for endometriosis 1993
- Incisional endometrioma involving the rectus abdominis muscle and subcutaneous tissues: CT appearance. 1993
- Cesarean section scar endometriosis. 1993
- THE OVARY 1993
- Magnetic resonance imaging using “fat-saturation” technique is useful for diagnosing small endometrioma: a case report 1992
- Cesarean Section Scar Endometriosis: A Series of Fourteen Patients 1991
- A CASE OF RECTAL ENDOMETORIOSIS 1991
- Diaphragmatic endometriosis: CT and MR findings 1990
- Pelvic Endometriosis Simulating Colonic Malignant Neoplasm 1989
- Computed tomography finding in Mayer-Rokitansky-Kuster-Hauser syndrome associated with endometriosis: A case report 1987
- Hepatic endometrioma 1986
- Intestinal endometriosis 1984
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