keyword
https://read.qxmd.com/read/38512726/postoperative-imaging-of-endometriosis
#1
JOURNAL ARTICLE
Glaucy L Neme, Cassia T S Guimarães, Patricia P Dantas, Daniel D B Santana, Fernando I Yamauchi, Hilton M Leão Filho, Leonardo K Bittencourt, Ricardo M A Pereira, Leandro A Mattos
Endometriosis is a highly prevalent disease that affects 10%-15% of women of reproductive age worldwide and is mainly associated with chronic pelvic pain and infertility. With the widespread use of imaging for the diagnosis and monitoring of endometriosis, combined with the ability of surgery to eradicate the disease and address infertility, there has been a significant increase in recent years in imaging examinations for postoperative evaluation of endometriosis. US and MRI are used not only to help diagnose and map endometriosis but also to evaluate refractory symptoms, residual lesions, and complications at posttreatment assessment...
April 2024: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://read.qxmd.com/read/38512491/long-term-outcomes-after-percutaneous-cryoablation-of-abdominal-wall-endometriosis
#2
JOURNAL ARTICLE
Clément Marcelin, Philippe Maas, Eva Jambon, Rim Maaloum, Isabelle Molina Andreo, Yann Le Bras, Horace Roman, Nicolas Grenier, Jean-Luc Brun, Francois H Cornelis
OBJECTIVE: To retrospectively evaluate the long-term outcomes after percutaneous cryoablation of abdominal wall endometriosis (AWE). METHOD: The Institutional Review Board approved this retrospective observational review of 40 consecutive patients, of a median age of 37 years (interquartile range [IQR] 32-40 years), presenting with a total of 52 symptomatic AWE nodules. All patients underwent cryoablation between January 2013 and May 2022 with a minimum follow-up period of 12 months...
March 21, 2024: European Radiology
https://read.qxmd.com/read/38497524/changes-in-lower-urinary-tract-function-after-minimally-invasive-nerve-sparing-for-complete-excision-of-endometriosis-an-observational-study
#3
JOURNAL ARTICLE
Fernanda Hack Gomes, Marlon de Freitas Fonseca, Luciano Alves Favorito, Mauro Poggiali Gasparoni, Fernando Salles da Silva Filho, André Luiz Lima Diniz, José Anacleto D de Resende Júnior
OBJECTIVES: The objective of this paper is to evaluate changes in lower urinary tract symptoms (LUTS), severity of pain and urodynamic parameters after minimally invasive nerve-sparing surgery for patients with endometriosis. METHODS: We analyzed 143 patients undergoing minimally invasive nerve-sparing surgery for endometriosis excision (laparoscopy/robot-assisted). The endometriosis was confirmed by preoperative clinical evaluation, magnetic resonance imaging (MRI) showing at least one lesion deeper than 5 mm, and histological confirmation after laparoscopy...
March 18, 2024: Neurourology and Urodynamics
https://read.qxmd.com/read/38467523/percutaneous-cryoablation-of-abdominal-wall-endometriosis-an-analysis-of-38-patients
#4
JOURNAL ARTICLE
Rafy Bachour, Nithida Sengmanivong, Fabien Vidal, Céline Goumarre, Franck Lapègue, Louise Destombes, Hélène Chiavassa Gandois, Yann Tanguy Le Gac, Elodie Chantalat, Jérome Capdet, Donatien Blais, Adrien Guenego, Nicolas Sans, Marie Faruch Bilfeld
PURPOSE: The purpose of this study was to evaluate the efficacy of percutaneous cryoablation in the treatment of abdominal wall endometriosis (AWE) nodules. MATERIALS AND METHODS: Thirty-eight women treated for symptomatic AWE nodules with percutaneous cryoablation under ultrasound and computed tomography (CT) guidance between May 2020 and July 2023 were retrospectively included. Pain was estimated using visual analog scale (VAS) and assessed at baseline, three months, six months, and 12 months after percutaneous cryoablation...
March 10, 2024: Diagnostic and Interventional Imaging
https://read.qxmd.com/read/38434786/giant-endometrioma-in-an-asymptomatic-patient
#5
Júlia Azevedo Miranda, Eduarda Fabrini, Fernando Morbeck Almeida Coelho, Publio Cesar Cavalcante Viana
Endometriosis is a chronic inflammatory gynecologic disorder characterized by the presence of endometrial-like tissue, including endometrial glands and stroma, outside of the uterine cavity. It is a prevalent condition worldwide, affecting approximately 10% of reproductive-age women and up to 50% of infertile women. Endometriosis manifests in three ways: superficial peritoneal endometriosis, deep infiltrative endometriosis, and ovarian endometriomas, with the possibility of coexistence among them. The disease presents with a range of symptoms, including chronic pelvic pain, dysmenorrhea, dyspareunia, and infertility...
May 2024: Radiology Case Reports
https://read.qxmd.com/read/38429816/inguinal-endometriosis-a-case-series-and-review-of-the-literature
#6
JOURNAL ARTICLE
Ameneh Haghgoo, Ali Faegh, Seyyed Reza Saadat Mostafavi, Hamid Reza Zamani, Mehran Ghahremani
BACKGROUND: Inguinal endometriosis is one of the most common forms of endometriosis. The present study introduces 8 cases of inguinal endometriosis and discusses probable theories of inguinal endometriosis by reviewing the literature. CASE PRESENTATION: 8 Iranian cases of inguinal endometriosis with a mean age of 36 years were presented. Catamenial groin pain and swelling were the most common complications. Also, patients usually had accompanying symptoms such as pelvic pain and dysmenorrhea...
March 2, 2024: Journal of Medical Case Reports
https://read.qxmd.com/read/38419147/multimodality-imaging-of-diseases-of-the-vagina
#7
JOURNAL ARTICLE
Vishnu Prasad Pulappadi, Smita Manchanda, Ekta Dhamija, Manisha Jana
Pathologies of the vagina are important causes of symptoms related to the genital tract in women. They can be missed on transabdominal ultrasonography (USG), which is the baseline modality used for evaluation of gynaecological complaints. Transperineal USG and MRI are the imaging modalities of choice for evaluation of the vagina. Diseases of the vagina can be grouped depending upon the age group in which they occur. In children and young adults, congenital anomalies like longitudinal or transverse vaginal septum, imperforate hymen, vaginal aplasia or atresia, and rectovaginal fistula can be seen...
February 28, 2024: British Journal of Radiology
https://read.qxmd.com/read/38382146/parietal-endometriosis-an-uncommon-cause-of-c-section-scar-pain-a-case-report
#8
Hounaida Mahfoud, Samia Tligui, Ibtissam Bensrhir, Najia Zeraidi, Amina Lakhdar, Aziz Baidada
INTRODUCTION: Parietal endometriosis is the most common form of extra-pelvic endometriosis. It develops on the surgical scar of c-section or hysterectomy. It is one of the causes of scar pain. CASE PRESENTATION: A 26 years old patient presents with recurring pain and swelling of a Pfannenstiel scar 6 years after a caesarean section. Physical examination revealed a firm tender subcutaneous nodule that appeared at MRI as a heterogenous parietal mass infiltrating the rectus abdominis muscles...
February 20, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38373806/intrinsic-ureteric-obstruction-secondary-to-endometriosis-a-rare-clinical-entity-causing-obstructive-uropathy-and-renal-failure
#9
JOURNAL ARTICLE
Prasanth Anton Sagayanathan, Xin Yi Goai, Ajanthan Loganathan, Simon Pridgeon
Ureteral endometriosis is rare and can be a silent clinical entity, which can potentially lead to serious complications such as obstructive uropathy, sepsis and renal failure. A high clinical suspicion is required especially in childbearing age groups due to non-specific presentation such as renal colic, recurrent urinary tract infection (UTI), renal failure or asymptomatic hydronephrosis.A woman in her 40s presented with febrile UTI and flank pain. She reportedly suffered from recurrent UTIs in the past. Initial workup revealed an infected, obstructed left renal collecting system with gross hydronephrosis and hydroureter to the distal ureter on a significant gynaecological background of severe endometriosis requiring hysterectomy in the past...
February 19, 2024: BMJ Case Reports
https://read.qxmd.com/read/38371366/a-rare-presentation-of-polypoid-endometriosis-of-the-douglas-pouch-case-report
#10
Emilie Demondion, Yves Borghesi, Nathalie Trouillet
A case is reported of a 46-year-old woman referred to a magnetic resonance imaging (MRI) for menometrorrhagia. MRI revealed a mass lesion lateral to the uterus fundus, suspicious of an ovarian granulosa cell tumor. Extensive surgery was performed. Histological examination revealed a polypoid endometriosis lesion arising from the Douglas pouch. Teaching point: Polypoid endometriosis is a rare benign entity with a challenging differential diagnosis from malignancy. Specific MRI features can contribute to the diagnosis and thus avoid excessive surgical resection...
2024: Journal of the Belgian Society of Radiology
https://read.qxmd.com/read/38360392/robotic-assisted-en-bloc-removal-of-kidney-ureter-and-bladder-wall-for-endometriosis
#11
JOURNAL ARTICLE
Shaheen Khazali, Rajesh Nair, Pasha Nisar, Averyl Bachi, Michael Adamczyk
OBJECTIVE: To highlight a case where a nephroureterectomy and partial bladder cystectomy needed to be done due to endometriosis DESIGN: A video article demonstrating a case study and the surgical management SETTING: Ureteral endometriosis is a complex form of endometriosis1 . If left untreated, the ureter can become significantly compressed leading to hydroureter, hydronephrosis and complete loss of kidney function2 . INTERVENTIONS: This is a case of a 29-year-old patient with pelvic pain and cyclical rectal bleeding...
February 13, 2024: Journal of Minimally Invasive Gynecology
https://read.qxmd.com/read/38359636/unusual-presentation-of-late-stage-ectopic-tubal-pregnancy-19%C3%A2-weeks-gestation-case-report-and-literature-review
#12
REVIEW
Danijel Bursać, Matilda Zadro, Suzana Haramina, Diana Culej Bošnjak, Neven Tučkar, Krunoslav Kuna
Ectopic pregnancy is a medical condition in which a fertilized egg takes an unexpected detour away from the uterine cavity and the fallopian tube becomes a popular host, with the ampulla being the prime location. However, it can occur in other areas such as cervix, ovaries, or abdomen. The most common risk factors are pelvic inflammatory disease, previous pelvic or abdominal surgery, abnormal anatomy of genital organs, endometriosis, previous ectopic pregnancies, assisted reproductive technologies, endocrine disorders, and even the subtle influence of low-dose progestins from contraceptives...
February 12, 2024: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://read.qxmd.com/read/38348799/transvaginal-ultrasound-and-magnetic-resonance-imaging-in-the-diagnosis-of-endometrioma-a-systematic-review-and-meta-analysis-of-diagnostic-test-accuracy-studies
#13
REVIEW
Fleur Serge Kanti, Rose Gorak Savard, Frédéric Bergeron, Hervé Tchala Vignon Zomahoun, Antoine Netter, Sarah Maheux-Lacroix
INTRODUCTION: The diagnosis of endometriomas in patients with endometriosis is of primary importance because it influences the management and prognosis of infertility and pain. Imaging techniques are evolving constantly. This study aimed to systematically assess the diagnostic accuracy of transvaginal ultrasound (TVUS) and magnetic resonance imaging (MRI) in detecting endometrioma using the surgical visualisation of lesions with or without histopathological confirmation as reference standards in patients of reproductive age with suspected endometriosis...
December 2024: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://read.qxmd.com/read/38342800/reasons-why-it-is-time-to-change-imaging-guidelines-on-endometriosis
#14
JOURNAL ARTICLE
Isabelle Thomassin-Naggara, Pascal Rousset, Cyril Touboul, Leo Razakamanantsoa, Lucia Manganaro
In light of the rising number of patients referred for magnetic resonance imaging (MRI) due to suspected endometriosis and the high expectations of these patients, there is a need for new imaging guidelines to optimally protocol and indicate MRI and transvaginal ultrasonography (TVUS) examinations. This is crucial for accurately addressing the inquiries of gynecologists, encompassing complete mapping and preoperative staging, and facilitating effective communication with patients. In this context, the development of a standardized lexicon, as well as dedicated imaging classifications, is recommended to aid in the comprehensive management of patients...
February 12, 2024: European Radiology
https://read.qxmd.com/read/38340184/relaxed-fibronectin-a-potential-novel-target-for-imaging-endometriotic-lesions
#15
JOURNAL ARTICLE
Belinda Trachsel, Stefan Imobersteg, Giulia Valpreda, Gad Singer, Regula Grabherr, Mark Ormos, Irene A Burger, Rahel A Kubik-Huch, Roger Schibli, Viola Vogel, Martin Béhé
BACKGROUND: Endometriosis is characterized by the ectopic occurrence of endometrial tissue. Though considered benign, endometriotic lesions possess tumor-like properties such as tissue invasion and remodeling of the extracellular matrix. One major clinical hurdle concerning endometriosis is its diagnosis. The diagnostic modalities ultrasound and MRI are often unable to detect all lesions, and a clear correlation between imaging and clinical symptoms is still controversial. Therefore, it was our aim to identify a potential target to image active endometriotic lesions...
February 10, 2024: EJNMMI Research
https://read.qxmd.com/read/38334590/imaging-of-endometriotic-lesions-using-crgd-mn-probe-in-a-mouse-model-of-endometriosis
#16
JOURNAL ARTICLE
Nazanin Talebloo, M Ariadna Ochoa Bernal, Elizabeth Kenyon, Christiane L Mallett, Sujan Kumar Mondal, Asgerally Fazleabas, Anna Moore
Approximately 10% of women suffer from endometriosis during their reproductive years. This disease is a chronic debilitating condition whose etiology for lesion implantation and survival heavily relies on adhesion and angiogenic factors. Currently, there are no clinically approved agents for its detection. In this study, we evaluated cRGD-peptide-conjugated nanoparticles (RGD-Cy5.5-MN) to detect lesions using magnetic resonance imaging (MRI) in a mouse model of endometriosis. We utilized a luciferase-expressing murine suture model of endometriosis...
February 5, 2024: Nanomaterials
https://read.qxmd.com/read/38316472/endometriosis-a-review-of-recent-evidence-and-guidelines
#17
REVIEW
Jessica Crump, Adriana Suker, Louise White
BACKGROUND: Endometriosis is a chronic inflammatory condition defined as endometrial-like tissue proliferating outside the uterus. It is a common yet frequently under-recognised condition affecting one in nine Australian women. OBJECTIVE: This paper aims to provide a summary of the recommendations for the diagnosis and management of endometriosis-associated pain and infertility from the most recent evidence-based guidelines on endometriosis by the European Society of Human Reproduction and Embryology, the Royal Australian College of Obstetricians and Gynaecologists and the National Institute for Health and Care Excellence...
2024: Australian Journal of General Practice
https://read.qxmd.com/read/38288047/a-case-of-periodic-abdominal-pain-and-fever-due-to-left-ovarian-abscess
#18
Shohei Tanabe, Eriko Uehara, Kotaro Ichida, Takatsugu Kan, Syuji Morishima
Tubo-ovarian abscess (TOA) is a late complication of pelvic inflammatory disease. Its diagnosis is difficult because it is occasionally accompanied by atypical symptoms such as abdominal pain and fever. A 45-year-old married woman presented with recurrent abdominal pain and fever. Her medical history included ovarian surgery 14 years prior to presentation. Computed tomography (CT) performed by her local doctor confirmed uterine fibroids and a left ovarian tumor. Following a detailed examination and magnetic resonance imaging at our hospital, a TOA was suspected, and surgery was planned...
April 2024: Radiology Case Reports
https://read.qxmd.com/read/38267748/endometriosis-mr-mimickers-t1-hyperintense-lesions
#19
REVIEW
Edouard Ruaux, Stéphanie Nougaret, Marie Gavrel, Mathilde Charlot, Mojgan Devouassoux-Shisheboran, François Golfier, Isabelle Thomassin-Naggara, Pascal Rousset
Endometriosis is a chronic and disabling gynecological disease that affects women of reproductive age. Magnetic resonance imaging (MRI) is considered the cornerstone radiological technique for both the diagnosis and management of endometriosis. While MRI offers higher sensitivity compared to ultrasonography, it is prone to false-positive results, leading to decreased specificity. False-positive findings can arise from various T1-hyperintense conditions on fat-suppressed T1-weighted images, resembling endometriotic cystic lesions in different anatomical compartments...
January 24, 2024: Insights Into Imaging
https://read.qxmd.com/read/38267633/endometriosis-mr-mimickers-t2-hypointense-lesions
#20
REVIEW
Edouard Ruaux, Wendaline M VanBuren, Stéphanie Nougaret, Marie Gavrel, Mathilde Charlot, Flavia Grangeon, Pierre-Adrien Bolze, Isabelle Thomassin-Naggara, Pascal Rousset
Endometriosis is a common crippling disease in women of reproductive age. Magnetic resonance imaging (MRI) is considered the cornerstone radiological technique for both the diagnosis and management of endometriosis. While its sensitivity, especially in deep infiltrating endometriosis, is superior to that of ultrasonography, many sources of false-positive results exist, leading to a lack of specificity. Hypointense lesions or pseudo-lesions on T2-weighted images include anatomical variants, fibrous connective tissues, benign and malignant tumors, feces, surgical materials, and post treatment scars which may mimic deep pelvic infiltrating endometriosis...
January 25, 2024: Insights Into Imaging
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