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Case Reports
. 2023 Dec;42(12):2897-2904.
doi: 10.1002/jum.16318. Epub 2023 Aug 14.

Deep Infiltrating Endometriosis: A Pictorial Essay

Abdullah Nadeem  1 , Alexander Habte  2 , Areeba Ahsan  1 , Rabeea Tariq  1 , Areeba Aamir Ali Basaria  1
Affiliations
Case Reports

Deep Infiltrating Endometriosis: A Pictorial Essay

Abdullah Nadeem et al. J Ultrasound Med. 2023 Dec.

Abstract

Deep infiltrating endometriosis (DIE) is a subperitoneal intrusion of endometrial tissue. Resulting endometrial nodules may develop on the uterosacral ligament, urinary tract, rectovaginal, and retrocervical areas, and less commonly in the urinary bladder, thoracic, and neural regions. Genetics, age, and environmental factors determine the progression of the disease. DIE manifests with numerous symptoms, which are similar to unrelated diseases, namely dysmenorrhea, dyspareunia, urinary tract infections, and infertility. Transvaginal ultrasound, magnetic resonance imaging, computed tomography, and physical examination may detect and differentiate endometriosis lesions from other diseases. Its clinical management typically involves laparoscopic surgery and hormonal therapy. These are designed to improve the quality of life and to address individual reproductive goals. This pictorial essay aims to provide clinical cases to highlight the characteristic radiological findings in each diagnostic modality and in addition to elucidate the current clinical management of DIE.

Keywords: CT; DIE; MRI; deep infiltrating endometriosis; endometrioma; endometriosis; nodules; ultrasound (TVUS).

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References

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