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Endometriosis, Pelvic Pain: Clinics and Imaging

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Imaging of Urogenital Diseases

Abstract

Endometriosis is one of the most common diseases in gynecology, even though its epidemiology is still relatively unknown. This derives from the fact that the diagnosis of endometriosis, according to current clinical opinion, should be made through the “direct” or surgical visualization of the disease or through histologic confirmation. Deeply infiltrating endometriosis (DIE) (>5 mm) is the most complicated and symptomatic form and is found in 30–40% of patients with endometriosis. Often the disease involves the uterosacral ligaments, the rectouterine pouch, the retrocervical tissue, the bladder, the ureter, the vagina and the intestine.

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References

  • Cornillie F, Oosterlynck D, Lauweryns JM et al (1990) Deeply infiltrating pelvic endometriosis: histology and clinical significance. Fertil Steril 53:978–983

    CAS  PubMed  Google Scholar 

  • Koninckx PR, Meuleman C, Demeyere S et al (1991) Suggestive evidence that pelvic endometriosis is a progressive disease, whereas deeply infiltrating endometriosis is associated with pelvic pain. Fertil Steril 55:759–765

    CAS  PubMed  Google Scholar 

  • McGuff P (1948) Endometriosis as a cause of intestinal obstruction. Surg Gynec Obstet 86:273–288

    CAS  PubMed  Google Scholar 

  • Vercellini P, Chapron C, Fedele L et al (2004) Evidence for asymmetric distribution of lower intestinal tract endometriosis. BJOG 111:1213–1217

    Article  PubMed  Google Scholar 

  • Weed J, Ray JE (1987) Endometriosis of the bowel. Obstet Gynecol 69:727–730

    CAS  PubMed  Google Scholar 

  • Stillwell TJ, Kramer SA, Lee RA (1986) Endometriosis of ureter. Urology 28:81–85

    Article  CAS  PubMed  Google Scholar 

  • Yates-Bell AL, Molland EA, Pryor JP (1972) Endometriosis of the ureter. Br J Urol 44:58–67

    Article  CAS  PubMed  Google Scholar 

  • Yohannes P (2003) Ureteral endometriosis. J Urol 170:20–25

    Article  PubMed  Google Scholar 

  • Bennett GL, Slywotzky CM, Giovanniello G (2002) Gynecologic causes of acute pelvic pain: spectrum of CT findings. Radio Graphics 22:785–801

    Google Scholar 

  • Brosens IA (1998) Endometriosis: current issues in diagnosis and medical management. J Reprod Med 43:281–286

    CAS  PubMed  Google Scholar 

  • Carbognin G, Guarise A, Minelli L et al (2004) Pelvic endometriosis: US and MRI features. Abdom Imaging 29:609–618

    Article  CAS  PubMed  Google Scholar 

  • Fried AM, Kenney CM 3rd, Stigers KB et al (1996) Benign pelvic masses: sonographic spectrum. Radio Graphics 16:321–334

    CAS  Google Scholar 

  • Kupfer MC, Schwimer SR, Lebovic J (1992) Transvaginal sonographic appearance of endometriomata: spectrum of findings. J Ultrasound Med 11:129–133

    CAS  PubMed  Google Scholar 

  • Woodward PJ, Sohaey R, Mezzetti TP Jr (2001) From the Archives of AFIP. Endometriosis: radiologic-pathologic correlation. Radio Graphics 21:193–216

    CAS  Google Scholar 

  • Bazot M, Detchev R, Cortez A et al (2003) Transvaginal sonography and rectal endoscopic sonography for assessment of pelvic endometriosis: a preliminary comparison. Hum Reprod 18:1686–1692

    Article  PubMed  Google Scholar 

  • Bazot M, Darai E, Hourani R et al (2004) Deep pelvic endometriosis: MR imaging for diagnosis and prediction of extension of disease. Radiology 232:379–389

    Article  PubMed  Google Scholar 

  • Carbognin G, Girardi V, Pinali L et al (2006) Assessment of pelvic endometriosis: correlation of US and MRI with laparoscopic findings. Radiol Med 111:687–701

    Article  CAS  PubMed  Google Scholar 

  • Chapron C, Dumontier I, Dousset B et al (1998) Results and role of rectal endoscopic ultrasonography for patients with deep pelvic endometriosis. Hum Reprod 13:2266–2270

    Article  CAS  PubMed  Google Scholar 

  • Zanardi R, Del Frate C, Zuiani C et al (2003) Staging of pelvic endometriosis based on MRI findings versus laparoscopic classification according to the American Fertility Society. Abdom Imaging 28:733–742

    Article  CAS  PubMed  Google Scholar 

  • Balleyguier C, Chapron C, Dubuisson JB et al (2002) Comparison of magnetic resonance imaging and transvaginal ultrasonography in diagnosing bladder endometriosis. J Am Assoc Gynecol Laparosc 9:15–23

    Article  CAS  PubMed  Google Scholar 

  • Fedele L, Bianchi S, Raffaelli R et al (1997) Pre-operative assessment of bladder endometriosis. Hum Reprod 12:2519–2522

    Article  CAS  PubMed  Google Scholar 

  • Grasso M, Li S, Liu JB et al (1999) Examining the obstructed ureter with intraluminal sonography. J Urol 162:1286–1290

    Article  CAS  PubMed  Google Scholar 

  • Sugimura K, Okizuka H, Kaji Y et al (1996) MRI in predicting the response of ovarian endometriomas to hormone therapy. J Comput Assist Tomogr 20:145–150

    Article  CAS  PubMed  Google Scholar 

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© 2009 Springer-Verlag

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Ciravolo, G.M., Rampinelli, F., Morana, G., Guarise, A. (2009). Endometriosis, Pelvic Pain: Clinics and Imaging. In: Grazioli, L., Olivetti, L. (eds) Imaging of Urogenital Diseases. Springer, Milano. https://doi.org/10.1007/978-88-470-1344-5_17

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  • DOI: https://doi.org/10.1007/978-88-470-1344-5_17

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-1343-8

  • Online ISBN: 978-88-470-1344-5

  • eBook Packages: MedicineMedicine (R0)

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