Novellas S, Chassang M, Bouaziz J, Delotte J, Toullalan O, Chevallier Et P
Centre Hospitalier Régional et Universitaire de Nice, Hôpital Archet, France.
Abdom Imaging. 2010 Dec;35(6):742-9. doi: 10.1007/s00261-010-9600-1.
Many atypical locations for deep endometriosis exist that are not well known to both the radiologist and gynecologist. This work explores these unusual localizations, which we have arbitrarily grouped under the term "anterior endometriosis" in contrast to the more common posterior presentation of deep endometriosis that has been so well described in the literature. Parietal and inguinal involvement is first detailed, followed by a description of deep endometriosis involving the urinary system and anterior supporting ligaments of the uterus. A necessary adaptation to the MRI protocol in order to accurately diagnosis deep anterior endometriosis as well as specific diagnostic criteria for each type of lesion is reviewed.
深部子宫内膜异位症存在许多非典型部位，放射科医生和妇科医生对此都不太了解。本研究探讨了这些不寻常的部位，与文献中描述得较为常见的深部子宫内膜异位症后位表现不同，我们将这些部位随意归类为“前位子宫内膜异位症”。首先详细介绍了壁层和腹股沟受累情况，随后描述了累及泌尿系统和子宫前支撑韧带的深部子宫内膜异位症。本文还回顾了为准确诊断深部前位子宫内膜异位症而对MRI协议进行的必要调整以及每种病变类型的具体诊断标准。
