Miranda Júlia Azevedo, Fabrini Eduarda, Coelho Fernando Morbeck Almeida, Viana Publio Cesar Cavalcante
Hospital das Clínicas da Universidade de São Paulo, São Paulo, Brazil.
Rede D'Or, São Paulo, Brazil.
Radiol Case Rep. 2024 Feb 27;19(5):1945-1948. doi: 10.1016/j.radcr.2024.01.064. eCollection 2024 May.
Endometriosis is a chronic inflammatory gynecologic disorder characterized by the presence of endometrial-like tissue, including endometrial glands and stroma, outside of the uterine cavity. It is a prevalent condition worldwide, affecting approximately 10% of reproductive-age women and up to 50% of infertile women. Endometriosis manifests in three ways: superficial peritoneal endometriosis, deep infiltrative endometriosis, and ovarian endometriomas, with the possibility of coexistence among them. The disease presents with a range of symptoms, including chronic pelvic pain, dysmenorrhea, dyspareunia, and infertility. Additionally, patients may experience nongynecological symptoms such as dyschezia, dysuria, hematuria, flank pain, and fatigue, among others. The ovaries are the most affected site in endometriosis, typically with cysts measuring less than 6 cm in diameter. Therefore, even in the presence of a large ovarian cyst or in asymptomatic patients, the consideration of an endometrial cyst should not be overlooked.
子宫内膜异位症是一种慢性炎症性妇科疾病，其特征是在子宫腔外存在类似子宫内膜的组织，包括子宫内膜腺体和间质。它是一种全球普遍存在的疾病，影响约10%的育龄妇女，在不孕妇女中患病率高达50%。子宫内膜异位症有三种表现形式：浅表性腹膜子宫内膜异位症、深部浸润性子宫内膜异位症和卵巢子宫内膜异位囊肿，它们之间可能并存。该疾病表现出一系列症状，包括慢性盆腔疼痛、痛经、性交困难和不孕。此外，患者可能会出现非妇科症状，如排便困难、排尿困难、血尿、侧腹疼痛和疲劳等。卵巢是子宫内膜异位症最常累及的部位，通常囊肿直径小于6厘米。因此，即使存在较大的卵巢囊肿或患者无症状，也不应忽视子宫内膜囊肿的可能性。
