Going deep into Endometriosis

Education and training, Contrast agent-other, Complications, MR, Genital / Reproductive system female, Abdomen Authors: E. V. Hernandez1, D. grammatico2, L. Coto Solari3, J. Mazzucco4; 1Buenos Aires, Buenos Aires/AR, 2Bs as/AR, 3Ciudad Autónoma de Buenos Aires/AR, 4San Isidro, bu/AR DOI: 10.1594/ecr2018/C-2390 Learning objectives To demonstrate the most common locations of endometrosis foci and the advantages of MR in the diagnosis and planning of surgical strategy.

Endometriosis is a disease of high prevalence in women of reproductive age and is playing a very important role nowadays. A few years ago this disease was not well known and doctors did not have the resources to make a good diagnosis as they do today. As the French medical doctor and physiologist Claude Bernard would say: "Who does not know what he is looking for does not know what he will find". Endometriosis is defined histologically as the presence of endometrial glands and stroma,... Findings and procedure details HIGH RESOLUTION PELVIS RMI Knowledge of the normal pelvic anatomy and its compartments is paramount. The pelvis compartments are three (Figure 1): ANTERIOR: it extends from the pubic symphysis to the middle compartment and contains the urinary bladder and the urethra. MIDDLE:it extends from the anterior compartment to the rectovaginal fascia and contains the uterus, the vagina, the Fallopian tubes and the ovaries. POSTERIOR: it extends from the rectovaginal fascia to the sacrococcyx and contains rectum and anus. The peritoneum extends from the bladder roof...

Although the initial study method is the ultrasound, high resolution pelvic MRI is being used more and more frequently and has become the method of choice for the correct characterization of endometriosis. It allows its classification in accordance to the extension of the commitment and provides an adequate therapeutic approach, which can be simply medical and/or surgical. The surgical procedure can be planned in advance if there is an exhaustive description of the injuries provided by the radiologist. It also helps to determine if more...

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