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Anatomic Distribution of Posterior Deeply Infiltrating Endometriosis on MRI After Vaginal and Rectal Gel Opacification

¹ Department of Imaging, Women's Imaging, Geneva University Hospitals, Rue Micheli du Crest, CH 1211 Geneva, Switzerland.
² Department of Obstetrics and Gynecology, Service of Gynecology, Geneva University Hospitals, Geneva, Switzerland.
³ Department of Clinical Pathology, Geneva University Hospitals, Geneva, Switzerland.

Abstract

OBJECTIVE. The challenges of imaging posterior deeply infiltrating endometriosis with MRI are to image a small anatomic area encompassing several thin fibromuscular anatomic structures such as uterosacral ligaments, and the vaginal and rectal walls; and to image endometriotic lesions, which are fibromuscular structures and have an MRI signal intensity very close to those of surrounding fibromuscular anatomic structures.

CONCLUSION. We show the capability and potential of MRI in diagnosing and staging of posterior deeply infiltrating endometriosis after vaginal and rectal gel opacification.

Keywords: endometriosis • MRI • posterior deeply infiltrating endometriosis • rectal opacification • vaginal opacification

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