Posterior Cul-de-Sac Obliteration Associated with Endometriosis: MR Imaging Evaluation
Authors:
- Milliam L. KataokaMKMilliam L. Kataoka
- Kaori TogashiKTKaori Togashi
- Toshihide YamaokaTYToshihide Yamaoka
- Takashi KoyamaTKTakashi Koyama
- Hiroyuki UedaHUHiroyuki Ueda
- Hisataka KobayashiHKHisataka Kobayashi
- Mahbubur RahmanMRMahbubur Rahman
- Toshihiro HiguchiTHToshihiro Higuchi
- Shingo FujiiSFShingo Fujii
- 1 March 2005
- journal article
- Published by Radiological Society of North America (RSNA) in Radiology
- Vol. 234 (3) , 815-823
Abstract
PURPOSE: To retrospectively evaluate the accuracy of magnetic resonance (MR) imaging in depicting posterior cul-de-sac obliteration in patients with endometriosis. MATERIALS AND METHODS: Institutional review board approval was not required for this retrospective study, but informed consent was obtained from all patients. MR images obtained between January 1989 and December 2000 in 57 women (mean age, 39 years; age range, 26–52 years) with histologically confirmed endometriosis were retrospectively evaluated by four radiologists independently. All patients underwent laparotomy or laparoscopy less than 1 month after MR imaging. MR images were evaluated for the presence and location of endometrial implants and adhesions. MR images were also scored for the presence of five findings: retroflexed uterus, elevated posterior vaginal fornix, intestinal tethering or tethered appearance of rectum in direction of uterus, faint strands between uterus and intestine, and fibrotic plaque or nodule covering serosal surfac...Keywords
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