Encyclopedia of endometriosis: a pictorial rad-path review

We present MRI and CT case examples, together with corresponding laparoscopic and histopathology images to enhance radiologists ’ understanding of this disease.
Source: Abdominal Imaging - Category: Radiology Source Type: research

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A 41-year-old nulliparous woman underwent assisted reproductive technology (ART) for infertility (stimulation cycles for oocyte retrieval, and embryo transfers). After two biochemical miscarriages, ultrasound and laparoscopy were performed. She reported dysmenorrhea and left sided pelvic pain. Apart from hypothyroidism, her medical history was unremarkable: of note, there was no history of laparoscopic myomectomy. Initial laparoscopy revealed “bubbles of angry-looking tissue”: biopsy reported endometriosis; cytology on peritoneal washings was negative for malignancy.
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: Images in Gynecological Surgery Source Type: research
AbstractBackgroundEndometriosis can exert obvious negative effects on women ’s quality of life.Excisional surgery is among the most effective treatments for severe pelvic endometriosis. The prevalence of severe pelvic adhesions following a laparoscopic examination of severe endometriosis varies between 50 and 100%. Temporary intraoperative ovarian suspension is a method for the reduction of adhesions is in the treatment of severe pelvic endometriosis. Given the importance and the prevalence of endometriosis and its complications, we conducted the present study to determine more effective adhesion-reducing methods wit...
Source: Gynecological Surgery - Category: OBGYN Source Type: research
ConclusionTraditionally only pathologies of the uterus and ovaries are assessed during a routine pelvic ultrasound. Here we demonstrate that the routine ultrasound examination can easily be extended beyond the uterus and ovaries into the posterior and anterior pelvic compartments to evaluate structural mobility and to look for deep infiltrating endometriotic nodules, so women suffering from deep infiltrating endometriosis can benefit from a pre-operative diagnosis and subsequently a single, well-planned procedure in the hands of a well-prepared team.
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
Abstract Endometriosis is an important gynecological disease, affecting 10% of reproductive age women, and associated with pain, infertility, reduced quality of life and high health economic cost. Except for ultrasound detection of ovarian endometriotic cysts, the gold standard for diagnosis is laparoscopy, leading to diagnostic delays of 5-10 years. Accurate noninvasive biomarkers are needed, especially for symptomatic women with a normal gynecological ultrasound, to triage them towards medical or surgical treatment and to monitor their treatment outcome. Such biomarkers are not available today, largely because t...
Source: Biology of Reproduction - Category: Reproduction Medicine Authors: Tags: Biol Reprod Source Type: research
Endometriosis is a very common finding in infertile women and is one of the most controversial topics. This is true for multiple reasons. For example, lots of patients with endometriosis have no symptoms at all, and this is an incidental finding either on a vaginal ultrasound scan, which picks up a chocolate cyst, or on a diagnostic laparoscopy done for checking infertility. Now, on an ultrasound scan or a laparoscopy, once the diagnosis is made, then doctors usually get itchy fingers and want to treat it. The treatment is usually doing an operative laparoscopy to remove the lesion, but whether this actually helps the pati...
Source: Dr.Malpani's Blog - Category: Reproduction Medicine Source Type: blogs
Conclusion: Serum caspase-3 level may be a reliable predictor of endometriosis severity.Gynecol Obstet Invest
Source: Gynecologic and Obstetric Investigation - Category: OBGYN Source Type: research
ConclusionOwing to the possibility to perform a complete assessment of all pelvic compartments at one time, MRI represents the best imaging technique for preoperative staging of endometriosis, in order to choose the more appropriate surgical approach and to plan a multidisciplinary team work.Teaching Points• Endometriosis includes ovarian endometriomas, peritoneal implants and deep pelvic endometriosis.• MRI is a second-line imaging technique after US.• Deep pelvic endometriosis is associated with chronic pelvic pain and infertility.• Endometriosis is characterized by considerable diagnostic delay.&bull...
Source: Insights into Imaging - Category: Radiology Source Type: research
I’m a black woman with uterine fibroids. These noncancerous growths, also called intramural fibroids, line the muscular wall of my uterus. Technically benign, they threaten to grow into larger, painful masses that could ultimately rob me of the ability to bear children. Fibroids are common in all women, but research suggests that African American women are significantly more likely to develop uterine fibroids. In fact, in addition to a family history of fibroids, being African American is at the top of the list of causes for the condition. And black women aren’t only at a higher risk for developing fibroids. Th...
Source: Healthy Living - The Huffington Post - Category: Consumer Health News Source Type: news
This report is for you to use when talking with your health-care provider. It is not a substitute for medical advice and treatment. Use of this report is at your own risk.© 2015 Consumer Reports. Developed in cooperation with the American Society for Reproductive Medicine for Choosing Wisely, a project of the ABIM Foundation. To learn more about the sources used in this report and terms and conditions of use, please visit ConsumerHealthChoices.org/about-us/.
Source: Dr.Malpani's Blog - Category: Reproduction Medicine Source Type: blogs
Endometriosis has always been a tricky problem . We still don't understand who gets endometriosis ; what causes it; and why there is such little correlation between the extent of the disease and their patient's symptoms. There are still lots of unresolved questions, which is why there are so many controversies about the impact of endometriosis on fertility . This is why patients with endo are so confused about which is the right treatment for them. After all , if doctors are confused , it is highly likely that patients are going to be completely perplexed as well . This is why patients find that they get diametrically oppo...
Source: Dr.Malpani's Blog - Category: Reproduction Medicine Source Type: blogs
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