Computed Tomography of Endometriosis

Elliot K. Fishman, Fishman EK, E K Fishman, J C Scatarige, John C. Scatarige, Scatarige JC, Faysal A. Saksouk, F A Saksouk, Saksouk FA, N B Rosenshein, Neil B. Rosenshein, Rosenshein NB, Siegelman SS, S S Siegelman, Stanley S. Siegelman
Journal of computer assisted tomography · 1983 · vol. 7(2) , pp. 257–264 · doi:10.1097/00004728-198304000-00010 · PMID:6833556 · W1969699426
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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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This study evaluated the utility of computed tomography in diagnosing endometriosis by analyzing six cases of pelvic masses in women aged 30 to 43. The researchers observed a wide range of CT appearances for endometriotic lesions, including solid masses, mixed cystic-solid structures, and thick-walled cysts involving the bowel or pelvic side walls. A key finding was that certain manifestations, particularly those affecting the bowel wall and pelvic sidewall, were not successfully identified using ultrasound in these patients. The authors conclude that CT serves as a valuable diagnostic tool for identifying various forms of endometriotic disease when other imaging modalities may be insufficient. This paper is centrally about endometriosis — specifically focusing on the radiological characteristics and diagnostic capabilities of computed tomography for detecting pelvic endometriotic lesions.

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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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Computed Tomography of Endometriosis - Elliot K. Fishman - John C. Scatarige - Faysal A. Saksouk - Neil B. Rosenshein - Stanley S. Siegelman 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 eystic and solid appearance. Discrete adnexal endometriosis appeared as thick-walled cystic masses (two cases) or as a simple eyst (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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Condition tags

endometriosis

MeSH descriptors

Endometriosis Intestinal Neoplasms Pelvic Neoplasms Tomography, X-Ray Computed Adult Endometriosis Endometriosis Female Humans Intestinal Neoplasms Pelvic Neoplasms Pelvic Neoplasms Pelvis Pelvis

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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