Deep pelvic endometriosis: don’t forget round ligaments. Review of anatomy, clinical characteristics, and MR imaging features
This review examines the anatomy, clinical features, and MR imaging findings of deep pelvic endometriosis specifically affecting the round ligaments of the uterus, an often-overlooked location.
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This paper is a narrative review of deep infiltrating pelvic endometriosis with a specific focus on endometriosis involving the uterine round ligaments (RLUs). It summarizes embryology and anatomy of the RLUs, associated clinical characteristics, and describes MR imaging protocols, normal MR appearances, and the most common MR findings of RLU involvement, while noting that accurate preoperative assessment of lesion extension is important. A key limitation acknowledged by the review format is that it is not an original study with new cohort results, and it does not quantify diagnostic performance across settings. This paper is centrally about endometriosis — specifically deep pelvic endometriosis of the uterine round ligaments and how to detect it on MRI.
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Cited by (33)
- Round Ligament of the Uterus: Radiological and Surgical Perspective 2025
- Advances in the diagnosis and management of endometriosis: A comprehensive review 2025
- Anterocentral Compartment (Bladder, Round Ligament) 2025
- Endometriosis, a common but enigmatic disease with many faces: current concept of pathophysiology, and diagnostic strategy 2024
- Infiltrating Endometriosis of the Distal Part of Round Uterine Ligament and It’s Association with Nuck’s Diverticulum (Literature Review and Case Report) 2024
- MRI of endometriosis in correlation with the #Enzian classification: applicability and structured report 2023
- MRI of endometriosis 2023
- Surgical management of inguinal endometriosis: Case report and surgical video 2023
- Anatomical Sites and Characteristics of EndometriosisLesions: Laparoscopic Investigation 2023
- MRI in the Diagnosis of Endometriosis and Related Diseases 2022
- Clinical features of endometriosis: a review of literature 2022
- Imaging of Endometriosis: The Role of Ultrasound and Magnetic Resonance 2022
- Pelvic Pain: Role of Imaging in the Diagnosis and Management 2021
- Long term follow-up of inguinal endometriosis 2021
- DEEP PELVIC ENDOMETRIOSIS WITH URINARY BLADDER AND OVARIAN INVOLVEMENT: ORIGINAL CASE REPORT AND REVIEW OF LITERATURE. 2021
- Endometriosis con infiltración aislada del nervio ciático, una forma de presentación atípica. Reporte de un caso clínico 2021
- Imaging Spectrum of Endometriosis (Endometriomas to Deep Infiltrative Endometriosis) 2020
- Systematic interpretation and structured reporting for pelvic magnetic resonance imaging studies in patients with endometriosis: value added for improved patient care 2019
- Additional Radiological Techniques (MRI) 2018
- Robotic management of endometriosis: discussion of use, criteria, and advantages. Review of the literature 2018
- Laparoscopic excision of round ligament endometrioma 2018
- Endometriosis: clinical features, MR imaging findings and pathologic correlation 2018
- Suspensory Ligaments of the Female Genital Organs: MRI Evaluation with Intraoperative Correlation 2018
- Imaging techniques in endometriosis 2018
- Shining light in a dark landscape: MRI evaluation of unusual localization of endometriosis 2017
- Transvaginal ultrasound <i>vs</i> magnetic resonance imaging for diagnosing deep infiltrating endometriosis: systematic review and meta‐analysis 2017
- Diagnosis of deep endometriosis: clinical examination, ultrasonography, magnetic resonance imaging, and other techniques 2017
- Endometriosis and Imaging 2017
- Magnetic resonance imaging of pelvic endometriosis 2017
- Resonancia magnética de la endometriosis pelviana 2017
- The Robotic-Assisted Treatment of Endometriosis: A Colorectal Surgical Perspective 2017
- Jack in the box: inguinal endometriosis 2015
- Ultrasonographic evaluation of anal endometriosis: report of four cases 2014
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