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Endometriosis
Maryam Rezvani, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          TERMINOLOGY

          • Definitions

            • Presence of endometrial glands and stroma outside of uterus, often accompanied by inflammation and fibrosis

          IMAGING

          • General Features

            • Radiographic Findings

              • CT Findings

                • MR Findings

                  • Ultrasonographic Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Staging, Grading, & Classification

                            • Gross Pathologic & Surgical Features

                              • Microscopic Features

                                CLINICAL ISSUES

                                • Presentation

                                  • Demographics

                                    • Natural History & Prognosis

                                      • Treatment

                                        DIAGNOSTIC CHECKLIST

                                        • Image Interpretation Pearls

                                          Selected References

                                          1. Gui B et al: Deep pelvic endometriosis: don't forget round ligaments. Review of anatomy, clinical characteristics, and MR imaging features. Abdom Imaging. 39(3):622-32, 2014
                                          2. Rousset P et al: Thoracic endometriosis syndrome: CT and MRI features. Clin Radiol. 69(3):323-30, 2014
                                          3. Hudelist G et al: Uterine sliding sign: a simple sonographic predictor for presence of deep infiltrating endometriosis of the rectum. Ultrasound Obstet Gynecol. 41(6):692-5, 2013
                                          4. Gidwaney R et al: Endometriosis of abdominal and pelvic wall scars: multimodality imaging findings, pathologic correlation, and radiologic mimics. Radiographics. 32(7):2031-43, 2012
                                          5. Macario S et al: The value of pelvic MRI in the diagnosis of posterior cul-de-sac obliteration in cases of deep pelvic endometriosis. AJR Am J Roentgenol. 199(6):1410-5, 2012
                                          6. McDermott S et al: MR imaging of malignancies arising in endometriomas and extraovarian endometriosis. Radiographics. 32(3):845-63, 2012
                                          7. Siegelman ES et al: MR imaging of endometriosis: ten imaging pearls. Radiographics. 32(6):1675-91, 2012
                                          8. ChamiƩ LP et al: Findings of pelvic endometriosis at transvaginal US, MR imaging, and laparoscopy. Radiographics. 31(4):E77-100, 2011
                                          9. Coutinho A Jr et al: MR imaging in deep pelvic endometriosis: a pictorial essay. Radiographics. 31(2):549-67, 2011
                                          10. Bennett GL et al: Unusual manifestations and complications of endometriosis--spectrum of imaging findings: pictorial review. AJR Am J Roentgenol. 194(6 Suppl):WS34-46, 2010
                                          11. Gaeta M et al: Nuck canal endometriosis: MR imaging findings and clinical features. Abdom Imaging. 35(6):737-41, 2010
                                          12. Jung SI et al: Deep infiltrating endometriosis: CT imaging evaluation. J Comput Assist Tomogr. 34(3):338-42, 2010
                                          13. Novellas S et al: Anterior pelvic endometriosis: MRI features. Abdom Imaging. 35(6):742-9, 2010
                                          14. Yoon JH et al: Deep rectosigmoid endometriosis: "mushroom cap" sign on T2-weighted MR imaging. Abdom Imaging. 35(6):726-31, 2010
                                          15. Faccioli N et al: Barium enema evaluation of colonic involvement in endometriosis. AJR Am J Roentgenol. 190(4):1050-4, 2008
                                          16. Ghezzi F et al: "Kissing ovaries": a sonographic sign of moderate to severe endometriosis. Fertil Steril. 83(1):143-7, 2005
                                          17. Bazot M et al: Deep pelvic endometriosis: MR imaging for diagnosis and prediction of extension of disease. Radiology. 232(2):379-89, 2004
                                          18. Zanardi R et al: Staging of pelvic endometriosis based on MRI findings versus laparoscopic classification according to the American Fertility Society. Abdom Imaging. 28(5):733-42, 2003
                                          19. Woodward PJ et al: Endometriosis: radiologic-pathologic correlation. Radiographics. 21(1):193-216; questionnaire 288-94, 2001
                                          20. Ha HK et al: Diagnosis of pelvic endometriosis: fat-suppressed T1-weighted vs conventional MR images. AJR Am J Roentgenol. 163(1):127-31, 1994
                                          Related Anatomy
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                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Terminology

                                            • Imaging

                                              • Top Differential Diagnoses

                                                • Clinical Issues

                                                  TERMINOLOGY

                                                  • Definitions

                                                    • Presence of endometrial glands and stroma outside of uterus, often accompanied by inflammation and fibrosis

                                                  IMAGING

                                                  • General Features

                                                    • Radiographic Findings

                                                      • CT Findings

                                                        • MR Findings

                                                          • Ultrasonographic Findings

                                                            • Imaging Recommendations

                                                              DIFFERENTIAL DIAGNOSIS

                                                                PATHOLOGY

                                                                • General Features

                                                                  • Staging, Grading, & Classification

                                                                    • Gross Pathologic & Surgical Features

                                                                      • Microscopic Features

                                                                        CLINICAL ISSUES

                                                                        • Presentation

                                                                          • Demographics

                                                                            • Natural History & Prognosis

                                                                              • Treatment

                                                                                DIAGNOSTIC CHECKLIST

                                                                                • Image Interpretation Pearls

                                                                                  Selected References

                                                                                  1. Gui B et al: Deep pelvic endometriosis: don't forget round ligaments. Review of anatomy, clinical characteristics, and MR imaging features. Abdom Imaging. 39(3):622-32, 2014
                                                                                  2. Rousset P et al: Thoracic endometriosis syndrome: CT and MRI features. Clin Radiol. 69(3):323-30, 2014
                                                                                  3. Hudelist G et al: Uterine sliding sign: a simple sonographic predictor for presence of deep infiltrating endometriosis of the rectum. Ultrasound Obstet Gynecol. 41(6):692-5, 2013
                                                                                  4. Gidwaney R et al: Endometriosis of abdominal and pelvic wall scars: multimodality imaging findings, pathologic correlation, and radiologic mimics. Radiographics. 32(7):2031-43, 2012
                                                                                  5. Macario S et al: The value of pelvic MRI in the diagnosis of posterior cul-de-sac obliteration in cases of deep pelvic endometriosis. AJR Am J Roentgenol. 199(6):1410-5, 2012
                                                                                  6. McDermott S et al: MR imaging of malignancies arising in endometriomas and extraovarian endometriosis. Radiographics. 32(3):845-63, 2012
                                                                                  7. Siegelman ES et al: MR imaging of endometriosis: ten imaging pearls. Radiographics. 32(6):1675-91, 2012
                                                                                  8. ChamiƩ LP et al: Findings of pelvic endometriosis at transvaginal US, MR imaging, and laparoscopy. Radiographics. 31(4):E77-100, 2011
                                                                                  9. Coutinho A Jr et al: MR imaging in deep pelvic endometriosis: a pictorial essay. Radiographics. 31(2):549-67, 2011
                                                                                  10. Bennett GL et al: Unusual manifestations and complications of endometriosis--spectrum of imaging findings: pictorial review. AJR Am J Roentgenol. 194(6 Suppl):WS34-46, 2010
                                                                                  11. Gaeta M et al: Nuck canal endometriosis: MR imaging findings and clinical features. Abdom Imaging. 35(6):737-41, 2010
                                                                                  12. Jung SI et al: Deep infiltrating endometriosis: CT imaging evaluation. J Comput Assist Tomogr. 34(3):338-42, 2010
                                                                                  13. Novellas S et al: Anterior pelvic endometriosis: MRI features. Abdom Imaging. 35(6):742-9, 2010
                                                                                  14. Yoon JH et al: Deep rectosigmoid endometriosis: "mushroom cap" sign on T2-weighted MR imaging. Abdom Imaging. 35(6):726-31, 2010
                                                                                  15. Faccioli N et al: Barium enema evaluation of colonic involvement in endometriosis. AJR Am J Roentgenol. 190(4):1050-4, 2008
                                                                                  16. Ghezzi F et al: "Kissing ovaries": a sonographic sign of moderate to severe endometriosis. Fertil Steril. 83(1):143-7, 2005
                                                                                  17. Bazot M et al: Deep pelvic endometriosis: MR imaging for diagnosis and prediction of extension of disease. Radiology. 232(2):379-89, 2004
                                                                                  18. Zanardi R et al: Staging of pelvic endometriosis based on MRI findings versus laparoscopic classification according to the American Fertility Society. Abdom Imaging. 28(5):733-42, 2003
                                                                                  19. Woodward PJ et al: Endometriosis: radiologic-pathologic correlation. Radiographics. 21(1):193-216; questionnaire 288-94, 2001
                                                                                  20. Ha HK et al: Diagnosis of pelvic endometriosis: fat-suppressed T1-weighted vs conventional MR images. AJR Am J Roentgenol. 163(1):127-31, 1994