Complex abdominopelvic endometriosis: the radiologist's perspective
Tanzilah Afzal Barrow1, Marwa Elsayed2, Sue Yin Liong2
1University Hospital South Manchester, Southmoor Road, Wythenshawe, Manchester, Greater Manchester, M23 9LT, United Kingdom. tanzilah@gmail.com.
Abdominal Imaging
|April 9, 2015
Summary
Endometriosis, a common gynecological disorder, presents complex challenges. This essay reviews imaging for under-recognized forms like deep infiltrative endometriosis and malignant transformation.
Area of Science:
- Gynecology
- Radiology
- Pathology
Background:
- Endometriosis affects 6-10% of reproductive-aged women.
- Management and pain control are complex.
- Multidisciplinary team approach is recommended.
Purpose of the Study:
- Discuss clinical presentation of complex endometriosis.
- Review imaging features of under-recognized forms.
- Highlight deep infiltrative endometriosis, malignant transformation, and decidualization.
Main Methods:
- Pictorial essay format.
- Review of clinical presentation.
- Review of imaging features.
Main Results:
- Ovaries are most commonly affected.
- Gastrointestinal, genitourinary, chest, and soft tissues can be involved.
- Deep infiltrative, malignant, and decidualized forms are less recognized.
Conclusions:
- Complex endometriosis requires comprehensive understanding.
- Imaging plays a crucial role in diagnosing under-recognized forms.
- Awareness of these forms is essential for effective patient management.
