Deep infiltrating endometriosis: can magnetic resonance imaging anticipate the need for colorectal surgeon intervention?

ConclusionThis study identifies MRI features that have potential diagnostic utility in identifying the need for colorectal surgical intervention in patients with DIE.
Source: European Journal of Radiology - Category: Radiology Source Type: research

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AbstractWe have read the article entitled “Laparoscopic treatment of endometriosis and predictors of major complications: a retrospective cohort study” by Clarket al with great interest [1]. It has been reported that major complications following laparoscopic treatment of endometriosis are infrequent and difficult to predict by patient characteristics and preoperative imaging (magnetic resonance imaging (MRI) or ultrasound (US)).
Source: Acta Obstetricia et Gynecologica Scandinavica - Category: OBGYN Authors: Tags: LETTER TO EDITOR Source Type: research
Abstract Endometriosis is characterized by the presence of endometrial tissue outside the uterus. When endometrial implants penetrate more than 5 mm into the peritoneum, the condition is referred to as deep pelvic endometriosis. Although laparoscopy is the gold standard test to establish a diagnosis of deep endometriosis, transvaginal ultrasound represents an alternative that can contribute to detection of the disease, because it is an accessible, low-cost, noninvasive examination that allows preoperative planning in cases requiring surgical treatment. However, in clinical practice, transvaginal ultrasound is still not wid...
Source: Radiologia Brasileira - Category: Radiology Source Type: research
Endometriosis is a common cause of chronic pelvic pain, dysmenorrhea and infertility. Although 6 –10% of women of child bearing age are affected by the disease, and even more in the group of patients with fertility problems, diagnosis is often delayed and treatment can be challenging. Depending on the complaints, extent of disease and the goals of treatment (fertility treatment, pain reducti on, …), both medical and surgical options are available for the management of this pathology and often a  multidisciplinary approach will be necessary. Although diagnostic laparoscopy with histologic confirmation...
Source: Journal of the Belgian Society of Radiology - Category: Radiology Source Type: research
CONCLUSIONS: In conclusion, complementary to an expert transvaginal ultrasound (TV-US) a 'one-stop' magnetic resonance imaging (MRI) predicts the intra-operative findings equally well as the standard radiological imaging (IVU and DCBE) in patients referred for endometriosis surgery in a tertiary care academic center. This article is protected by copyright. All rights reserved. PMID: 31503381 [PubMed - as supplied by publisher]
Source: The Ultrasound Review of Obstetrics and Gynecology - Category: Radiology Authors: Tags: Ultrasound Obstet Gynecol Source Type: research
Publication date: Available online 7 June 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Masashi Takamura, Kaori Koga, Shigenobu Emoto, Kazushige Kawai, Yutaka Osuga, Soichiro IshiharaABSTRACTDesmoid tumors, which are often estrogen-dependent, frequently develop in surgical wounds. Here we report the case of 33-year-old woman with a 4-cm solid mass detected in her left adnexal area. She had previously undergone a laparoscopic surgery for endometriosis at age 29 years and had been using a combined oral contraceptive (COC) to prevent recurrence. The mass was diagnosed as a uterine myoma on the basis of ultras...
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
ConclusionSWI can improve the diagnostic accuracy of MRI by allowing the detection of hemorrhagic character of endometriosis lesions.
Source: European Journal of Radiology - Category: Radiology Source Type: research
ConclusionCurettage for miscarriage or undesired pregnancy is not exempt from complications, such as hemorrhage, simple perforation, and infection. Intrauterine fallopian tube incarceration is uncommon but can affect fertility. This diagnosis is important to avoid destruction of the fimbriae and necrosis of the tube and also to reduce the risk of ectopic pregnancy.
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
ConclusionsA complete surgery is feasible for severe and deep endometriosis with a multicompartmental disease, using a laparoscopic approach aiming to preserve fertility.
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
Desmoid tumors, which are often estrogen-dependent, frequently develop in surgical wounds. Here we report the case of 33-year-old woman with a 4-cm solid mass detected in her left adnexal area. She had previously undergone a laparoscopic surgery for endometriosis at age 29 years and had been using a combined oral contraceptive (COC) to prevent recurrence. The mass was diagnosed as a uterine myoma on the basis of ultrasonography and magnetic resonance imaging. Gonadotropin-releasing hormone agonist therapy for 3 months resulted in shrinkage of the tumor.
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: Case Report Source Type: research
Rationale: The purpose of this case report was to raise awareness regarding endometriosis on the surface of the uterus mimicking malignant tumor and thus manage it accurately. Patient concerns: A 40-year-old Asian woman with a 2-year history of lower abdomen pain was admitted to our department with elevated serum cancer antigen (CA) 125 level, weight loss, and pelvic mass from 20 days previously. Magnetic resonance imaging revealed a high volume of effusion in the pelvic cavity, an irregular occupying lesion on the surface of the fundus of the uterus, and multiple nodules. Diagnoses: Postoperative pathology confirm...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
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