Atlas of pelvic and extra-pelvic endometriosis

KHEZAMI, ASMA
2025 · doi:10.26044/ecr2025/c-19921 · W6964532815
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This educational exhibit presents a standardized magnetic resonance imaging protocol designed to accurately assess both pelvic and extra-pelvic endometriosis. The authors reviewed illustrative cases from a teaching hospital in Tunis, categorizing involvement into superficial implants, deep infiltrating disease affecting organs like the bowel and urinary tract, and rare thoracic or parietal manifestations. They emphasize that due to the multifocal nature of the condition, systematic MRI evaluation is essential for precise lesion mapping prior to surgical intervention. This paper is centrally about endometriosis — specifically focusing on radiological classification and imaging protocols for pelvic and extra-pelvic disease manifestations.

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Keywords

Genital / Reproductive system female, MR, Contrast agent-intravenous, Inflammation Authors: A. Khezami, M. Mokbli, J. Rayhane, J. Bel Hadj Ali, A. Eya, H. Mizouni DOI: 10.26044/ecr2025/C-19921 Learning objectives To develop an effective magnetic resonance imaging (MRI) protocol for the assessment of pelvic and extra pelvic endometriosis.To illustrate different forms of endometriotic involvement.

Background

Endometriosis is a rather frequent concern especially for the younger patients. We collected the most illustrative cases of both pelvic and extra pelvic involvement from the department of radiology of the Rabta teaching hospital, Tunis. Findings and procedure details Endometriosis is a chronic disease that is caused by the presence of endometrial tissue outside of the uterus, presenting in different forms based on the involved organs :-superficial endometriosisincluding peritoneal wall and superficial ovarian implants.- deep pelvic endometriosisinfiltrating the rectal wall, the urinary tract, the pelvic wall and the bowel,etc..-extra-pelvic endometriosisincluding parietal and thoracic involvement.Due to the complexity and the multifocality of the disease, a standardised MRI protocol is a must for an accurate assessment of the lesions. Establishing a systematic protocol ensures consistency in...

Conclusion

MRI is the imaging modality of choice for the mapping of pelvic and extra-pelvic endometriosic involvement, and should therefore be well performed and thouroughly examined, especially prior to surgical interventions. Personal information and conflict of interest A. Khezami: Nothing to disclose M. Mokbli: Nothing to disclose J. Rayhane: Nothing to disclose J. Bel Hadj Ali: Nothing to disclose A. Eya: Nothing to disclose H. Mizouni: Nothing to disclose

References

- Asma Bekhouche, Edwige Pottier, Cendos Abdel Wahab, Audrey Milon, Édith Kermarrec, Marc Bazot, Isabelle Thomassin-Naggara, Recommandations récentes de la Haute Autorité de santé et de l’European Society of Urogenital Radiology sur l’imagerie de l’endométriose,Imagerie de la Femme,Volume 29, Issue 3,2019,Pages 150-172.- Carla de Venecia,MD,and Susan M.Ascher,MD. Pelvic Endometriosis:Spectrum of Magnetic Resonance Imaging Findings. Seminars in Ultrasound-CTand MRI. 2015; 36:385-393- Coutinho A. et al. MR imaging in deep pelvic endometriosis : a pictorial essay.Mars 2011;Vol. 31 N2, Radiographics- Gougoutas, Christina A., Evan S. Siegelman, Jennifer...

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endometriosis

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