TY - JOUR
T1 - Deep pelvic endometriosis
T2 - a radiologist’s guide to key imaging features with clinical and histopathologic review
AU - Darvishzadeh, Ayeh
AU - McEachern, Wendaline
AU - Lee, Thomas K.
AU - Bhosale, Priya
AU - Shirkhoda, Ali
AU - Menias, Christine
AU - Lall, Chandana
N1 - Publisher Copyright:
© 2016, Springer Science+Business Media New York.
PY - 2016/12/1
Y1 - 2016/12/1
N2 - While endometriosis typically affects the ovaries, deep infiltrating endometriosis can affect the gastrointestinal tract, urinary tract, and deep pelvis, awareness of which is important for radiologists. Symptoms are nonspecific and can range from chronic abdominal and deep pelvic pain to nausea, vomiting, diarrhea, constipation, hematuria, and rectal bleeding. Ultrasound and computed tomography may show nonspecific soft-tissue density masses causing bowel obstruction and hydronephrosis. This constellation of presenting symptoms and imaging evidence is easily mistaken for other pathologies including infectious gastroenteritis, diverticulitis, appendicitis, and malignancy, which may lead to unnecessary surgery or mismanagement. With this, deep pelvic endometriosis should be considered in the differential diagnosis in a female patient of reproductive age who presents with such atypical symptoms, and further work up with magnetic resonance imaging is imperative for accurate diagnosis, treatment selection, and preoperative planning.
AB - While endometriosis typically affects the ovaries, deep infiltrating endometriosis can affect the gastrointestinal tract, urinary tract, and deep pelvis, awareness of which is important for radiologists. Symptoms are nonspecific and can range from chronic abdominal and deep pelvic pain to nausea, vomiting, diarrhea, constipation, hematuria, and rectal bleeding. Ultrasound and computed tomography may show nonspecific soft-tissue density masses causing bowel obstruction and hydronephrosis. This constellation of presenting symptoms and imaging evidence is easily mistaken for other pathologies including infectious gastroenteritis, diverticulitis, appendicitis, and malignancy, which may lead to unnecessary surgery or mismanagement. With this, deep pelvic endometriosis should be considered in the differential diagnosis in a female patient of reproductive age who presents with such atypical symptoms, and further work up with magnetic resonance imaging is imperative for accurate diagnosis, treatment selection, and preoperative planning.
KW - Computed tomography (CT)
KW - Cul-de-sac
KW - Deep infiltrating endometriosis
KW - Endometriosis
KW - Gastrointestinal tract
KW - Magnetic resonance imaging (MRI)
KW - Pelvis
KW - Ultrasound
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U2 - 10.1007/s00261-016-0956-8
DO - 10.1007/s00261-016-0956-8
M3 - Review article
C2 - 27832323
AN - SCOPUS:84994726515
SN - 2366-004X
VL - 41
SP - 2380
EP - 2400
JO - Abdominal Radiology
JF - Abdominal Radiology
IS - 12
ER -