Endometriosis Sites

Aki Kido
In: MRI and CT for Decision-Making in Obstetrics and Gynecology Practice · 2025 · pp. 115–122 · doi:10.1007/978-981-97-5120-4_13 · W4409830836
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This case study aims to confirm an ovarian endometriotic lesion using MR images in a 33-year-old woman with infertility, dysmenorrhea, and pelvic pain.

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This chapter presents a clinical scenario of a 33-year-old woman with infertility and symptoms including dysmenorrhea and pain during defecation and intercourse, diagnosed with an ovarian endometriotic cyst and awaiting laparoscopic removal. The stated goal is to confirm the presence of an endometriotic lesion using MRI images and to outline how image evaluation should be approached. The key finding is framed as guidance for assessing MRI features to verify endometriosis prior to surgery, grounded in prior literature on imaging accuracy and lesion characterization, though the text does not provide new quantitative results and offers limited patient-level methodological detail beyond the case context. This paper is centrally about endometriosis—focused on using MRI evaluation to confirm endometriotic lesions in an infertility patient with an ovarian endometriotic cyst.

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Abstract

The patient is a 33-year-old woman struggling with infertility. She experiences dysmenorrhea and pain during defecation and intercourse. Diagnosed with an ovarian endometriotic cyst, she is now awaiting laparoscopic removal. We aim to confirm the presence of the endometriotic lesion through MR images. How should we approach the image evaluation? Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

References

Koninckx PR, et al. Suggestive evidence that pelvic endometriosis is a progressive disease, whereas deeply infiltrating endometriosis is associated with pelvic pain. Fertil Steril. 1991;55:759–65. Clement PB. Disease of the peritoneum. In: Kurman RJ, editor. Blaustein’s pathology of the female genital tract. 5th ed. Springer; 2002. Chapron C, et al. Anatomical distribution of deeply infiltrating endometriosis: surgical implications and proposition for a classification. Hum Reprod. 2003;18:157–61. Kinkel K, et al. Diagnosis of endometriosis with imaging: a review. Eur Radiol. 2006;16:285–98. D'Hooghe TM, Hill JA. Endometriosis. In: Berek J, editor. Novak’s gynecology. 12th ed. Lippincott Williams and Wilkins; 1996. p. 887–914. Siegelman ES, et al. Solid pelvic masses caused by endometriosis: MR imaging features. AJR Am J Roentgenol. 1994;163:357–61. Woodward PJ, et al. Endometriosis: radio-logic-pathologic correlation. Radiographics. 2001;21:193–216; questionnaire 288–94. Kataoka ML, et al. Posterior cul-desac obliteration associated with endometriosis: MR imaging evaluation. Radiology. 2005;234:815–23. Fauconnier A, Chapron C. Endometriosis and pelvic pain: epidemiological evidence of the relationship and implications. Hum Reprod Update. 2005;11:595–606. Wolf GC, Kopecky KK. MR imaging of endometriosis arising in cesarean section scar. J Comput Assist Tomogr. 1989;13:150–2. Author information Authors and Affiliations Corresponding author Editor information Editors and Affiliations Rights and permissions Copyright information © 2025 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd. About this chapter Cite this chapter Kido, A. (2025). Endometriosis Sites. In: Matsumura, N., Matsuki, M., Kido, A. (eds) MRI and CT for Decision-Making in Obstetrics and Gynecology Practice. Springer, Singapore. https://doi.org/10.1007/978-981-97-5120-4_13 Download citation DOI: https://doi.org/10.1007/978-981-97-5120-4_13 Published: Publisher Name: Springer, Singapore Print ISBN: 978-981-97-5119-8 Online ISBN: 978-981-97-5120-4 eBook Packages: MedicineMedicine (R0)

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endometriosis

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