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Pain Imaging pp 471-485 | Cite as

Imaging of Endometriosis-Related Pain

  • Lucia ManganaroEmail author
  • Valeria Vinci
  • Federica Capozza
  • Amanda Antonelli
  • Serena Satta
Chapter

Abstract

This chapter aims at illustrating the diagnostic tools currently used for the diagnosis of endometriosis.

A paragraph will focus on epidemiology and theories proposed to explain the genesis of pain.

We will discuss the role of Magnetic Resonance Imaging, as the second level imaging modality. MRI application in endometriosis will follow the section regarding TVUS; we will discuss protocol and MRI features of endometriosis.

We will go through the three main forms of endometriosis, endometrioma, peritoneal endometriosis, and deep infiltrating implants, showing their appearance in the two imaging modalities.

At last a brief paragraph will show MRI techniques recently applied to directly evaluate the neural involvement in case of severe endometriosis related pain.

Keywords

Endometriosis Pelvic pain Endometrioma Adenomyosis Adenomyoma Adhesions Fibro endometriosis Deep endometriosis Infiltrating endometriosis Hematosalpinx Peritoneal endometriosis Vaginal endometriosis Bowel endometriosis Bladder endometriosis Pelvic tractography Endometriotic nodule Pouch of Douglas endometriosis Imaging MRI Trans vaginal US 

Supplementary material

Videos 23.1a

Endometrioma of the right ovary (MOV 39347 kb)

Videos 23.1b

Endometrioma of the right ovary (MOV 6363 kb)

Videos 23.2a

Endometrioma of the left ovary with typical “shading sign” (MOV 6678 kb)

Videos 23.2b

Endometrioma of the left ovary with typical “shading sign” (MOV 13607 kb)

Videos 23.3a

Tubal and ovarian endometriosis with hematosalpinx (MOV 6621 kb)

Videos 23.3b

Tubal and ovarian endometriosis with hematosalpinx (MOV 19071 kb)

Videos 23.3c

Tubal and ovarian endometriosis with hematosalpinx (MOV 7124 kb)

Videos 23.4a

Deep infiltrating endometriosis of posterior compartment with rectal wall infiltration, adenomyosis and ovarian endometriosis (MOV 9905 kb)

Videos 23.4b

Deep infiltrating endometriosis of posterior compartment with rectal wall infiltration, adenomyosis and ovarian endometriosis (MOV 14576 kb)

Videos 23.4c

Deep infiltrating endometriosis of posterior compartment with rectal wall infiltration, adenomyosis and ovarian endometriosis (MOV 6344 kb)

Videos 23.5a

Endometriosis of posterior compartment extended to rectum, parametrium and pelvic wall (MOV 10422 kb)

Videos 23.5b

Endometriosis of posterior compartment extended to rectum, parametrium and pelvic wall (MOV 5589 kb)

Video 23.6

Endometriosis of posterior compartment (MOV 13980 kb)

Videos 23.7a

Endometriosis of posterior compartment (with and without gel vaginal and rectal filling) (MOV 11327 kb)

Videos 23.7b

Endometriosis of posterior compartment (with and without gel vaginal and rectal filling) (MOV 8772 kb)

Videos 23.7c

Endometriosis of posterior compartment (with and without gel vaginal and rectal filling) (MOV 20512 kb)

Video 23.8

Deep infiltrating endometriosis of anterior compartment (nodule in the vesicouterine pouch (MOV 7964 kb)

Videos 23.9a

Deep infiltrating endometriosis of posterior and lateral compartments with associated ureteronephrosis; left ovarian endometriosis (MOV 19500 kb)

Videos 23.9b

Deep infiltrating endometriosis of posterior and lateral compartments with associated ureteronephrosis; left ovarian endometriosis (MOV 7342 kb)

Videos 23.9c

Deep infiltrating endometriosis of posterior and lateral compartments with associated ureteronephrosis; left ovarian endometriosis (MOV 6505 kb)

Videos 23.10a

Multifocal deep infiltrating endometriosis with bilateral endometriomas, hematosalpinx and left ureteronephrosis (MOV 9901 kb)

Videos 23.10b

Multifocal deep infiltrating endometriosis with bilateral endometriomas, hematosalpinx and left ureteronephrosis (MOV 6972 kb)

Videos 23.11a

Adenomyosis, right tubo-ovarian endometriosis, endometriosis of posterior compartment and of peritoneum (MOV 12520 kb)

Videos 23.11b

Adenomyosis, right tubo-ovarian endometriosis, endometriosis of posterior compartment and of peritoneum (MOV 13240 kb)

Videos 23.11c

Adenomyosis, right tubo-ovarian endometriosis, endometriosis of posterior compartment and of peritoneum (MOV 6265 kb)

Videos 23.12a

Adenomyosis, left hematosalpinx, ovarian and peritoneal endometriosis (MOV 15249 kb)

Videos 23.12b

Adenomyosis, left hematosalpinx, ovarian and peritoneal endometriosis (MOV 7074 kb)

Videos 23.12c

Adenomyosis, left hematosalpinx, ovarian and peritoneal endometriosis (MOV 5011 kb)

Videos 23.13a

Adenomyoma (MOV 6222 kb)

Videos 23.13b

Adenomyoma (MOV 11131 kb)

Videos 23.14a

Endometriosis of posterior compartment with infiltration of right puborectalis muscle and ipsilateral sacral nerval roots (MOV 13366 kb)

Videos 23.14b

Endometriosis of posterior compartment with infiltration of right puborectalis muscle and ipsilateral sacral nerval roots (MOV 6881 kb)

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Lucia Manganaro
    • 1
    Email author
  • Valeria Vinci
    • 1
  • Federica Capozza
    • 1
  • Amanda Antonelli
    • 1
  • Serena Satta
    • 1
  1. 1.Department of Radiological SciencesSapienza University of RomeRomeItaly

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