Adnexal Endometriosis. Typical Benign Endometriosis

Endometriosis is a complex disease with different degrees of expression. Although using ultrasound (US) with the transvaginal and transabdominal approaches yields a lot of information, especially about adnexal endometriosis, magnetic resonance (MR) is the modality of choice to see its exact stage. Several signs are not absolutely pathognomic but have high sensitivity and specificity in identifying endometrial ovarian changes. T2 shading sign (dropping signal intensity on T2) was for 2 decades thought as the most important technique until complete and incomplete rim sign and T2 dark spot sign were also established to help in reaching diagnoses. As all these signs are based on the behavior of blood products, they can be found in hemorrhagic cysts as well. Active debate persists about surgery indications for patients who are in the program of in vitro fertilization (IVF) and the influence of endometriosis per se versus surgery on the ovarian reserve. Although some potential difficulties might be encountered during aspiration and other manipulations during IVF, the influence of hormones during pregnancy could have even a therapeutic effect in some cases. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

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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 Switzerland AG About this chapter Cite this chapter Stojanović, S., Kopitović, V., Anđelić, L., Milatović, S., Molnar, U. (2025). Adnexal Endometriosis. Typical Benign Endometriosis. In: Thomassin-Naggara, I. (eds) Imaging of Endometriosis: A Comparative Guide of US, MRI and Surgery. Springer, Cham. https://doi.org/10.1007/978-3-031-82750-1_3 Download citation DOI: https://doi.org/10.1007/978-3-031-82750-1_3 Published: Publisher Name: Springer, Cham Print ISBN: 978-3-031-82749-5 Online ISBN: 978-3-031-82750-1 eBook Packages: MedicineMedicine (R0)