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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