CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2021; 31(01): 193-202
DOI: 10.1055/s-0041-1729670
Pictorial Essay

Endometriosis and Its Myriad Presentations: Magnetic Resonance Imaging-Based Pictorial Review

Seema Sud
1  Department of CT and MRI, Sir Ganga Ram Hospital, New Delhi, India
,
Tarvinder Bir Singh Buxi
1  Department of CT and MRI, Sir Ganga Ram Hospital, New Delhi, India
,
Swapnil Sheth
1  Department of CT and MRI, Sir Ganga Ram Hospital, New Delhi, India
,
Samarjit Singh Ghuman
1  Department of CT and MRI, Sir Ganga Ram Hospital, New Delhi, India
› Author Affiliations

Abstract

Endometriosis is a major cause of infertility and pain in females in the reproductive age group. It is a result of ectopic functional endometrial cells outside the uterus. It consists of a spectrum of findings from superficial to deep implants initiating a fibrotic response and resulting in adhesions. Diagnosis of endometriosis is based on clinical history, noninvasive and invasive techniques. The final diagnosis is based on laparoscopy with histopathological confirmation. Ultrasonography is the first line of investigation, followed by magnetic resonance imaging (MRI) in complex cases. MRI is a noninvasive, multiplanar technique that involves no radiation and provides excellent delineation of the disease process. As deep endometriosis has a similar low signal to adjacent normal organs, it can be easily overlooked by radiologists. They should be aware of the spectrum of diseases so as to provide a roadmap for the surgeons. A structured reporting system helps radiologists organize and standardize their reports.



Publication History

Publication Date:
23 May 2021 (online)

© 2021. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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