Trippia Carlos H, Zomer Monica T, Terazaki Carlos R T, Martin Rafael L S, Ribeiro Reitan, Kondo William
Department of Radiology, Roentgen Diagnóstico Institute, Curitiba, Paraná, Brazil.
Department of Gynecology, Sugisawa Medical Center, Curitiba, Paraná, Brazil; Department of Gynecology, Vita Batel Hospital, Curitiba, Paraná, Brazil.
Clin Med Insights Reprod Health. 2016 Feb 21;10:1-8. doi: 10.4137/CMRH.S29472. eCollection 2016.
Endometriosis is a benign gynecologic disease characterized by the presence of endometrial tissue outside the uterine cavity. The complexity of the disease results from its multiple clinical presentations, the multifocal pattern of distribution of the lesions, the presence of extra pelvic sites of the disease (mainly affecting the urinary and the intestinal tracts), and the difficulty in the preoperative diagnosis (by means of imaging studies) and in the surgical treatment. The preoperative mapping of the lesions, either by ultrasound or by magnetic resonance imaging, allows for an adequate surgical planning and a better preoperative patient counseling, especially in those women with deep infiltrating endometriosis affecting the bowel. Also, the choice of the surgical team that is going to perform the procedure may be based on the preoperative workup. In this paper, we highlight the important findings that should be described in the imaging examination reports for the preoperative workup of patients with deep infiltrating endometriosis of the intestine.
子宫内膜异位症是一种良性妇科疾病，其特征是子宫腔外存在子宫内膜组织。该疾病的复杂性源于其多种临床表现、病变分布的多灶性模式、疾病在盆腔外部位（主要影响泌尿系统和肠道）的存在，以及术前诊断（通过影像学检查）和手术治疗的困难。通过超声或磁共振成像对病变进行术前定位，有助于进行充分的手术规划和更好地对患者进行术前咨询，尤其是对于那些患有深部浸润性子宫内膜异位症且影响肠道的女性。此外，进行手术的外科团队的选择可以基于术前检查。在本文中，我们强调了在肠道深部浸润性子宫内膜异位症患者术前检查的影像学检查报告中应描述的重要发现。
