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Deep infiltrative pelvic endometriosis: a review based on magnetic resonance imaging
Deep infiltrative pelvic endometriosis: a review based on magnetic resonance imaging
Karen Quevedo-Cabrera 1, Manuela L. Laguna-Kirof 2, Maitena Blanco 2, Juana Granel 3, Nebil Larrañaga 4
1 Servicio de Diagnóstico por Imágenes, Centro de Educación Médica e Investigaciones Clínicas Norberto Quirno, Ciudad de Buenos Aires, Argentina; 2 Servicio de Diagnóstico por Imágenes, Centro de Educación Médica e Investigaciones Clínicas Norberto Quirno (CEMIC), Buenos Aires, Argentina; 3 Departamento de Diagnóstico por Imágenes, Centro de Educación Médica e Investigaciones Clínicas (CEMIC), Ciudad Autónoma de Buenos Aires, Argentina; 4 Departamento de Diagnóstico por Imágenes, Hospital General de Agudos Dr. Cosme Argerich, Ciudad de Buenos Aires, Argentina
*Correspondence: Karen Quevedo-Cabrera. Email: karenqc31@gmail.com
Abstract
Deep pelvic endometriosis is one of the three main forms of endometriosis presentation and the most aggressive, defined by the invasion of the peritoneal surface exceeding 5 mm in depth, which can affect the entire pelvis, altering its anatomy and functionality. The surgical approach as a diagnostic and therapeutic measure for endometriosis may vary depending on the extent of the ectopic invasion, thus imaging evaluation, precise identification, and localization of such lesions are key for management when considering surgical treatment. Magnetic resonance imaging (MRI) is a non-invasive diagnostic method with high spatial resolution that allows for a more comprehensive evaluation and characterization of the tissue, as well as its staging, facilitating the diagnosis and treatment of deep pelvic endometriosis.
Keywords: Endometriosis. Pelvis. Magnetic resonance imaging. Woman
