Fishman E K, Scatarige J C, Saksouk F A, Rosenshein N B, Siegelman S S
J Comput Assist Tomogr. 1983 Apr;7(2):257-64. doi: 10.1097/00004728-198304000-00010.
Six examples of pelvic masses due to endometriosis were detected by computed tomography (CT) in a group of women aged 30-43. Lower abdominal or pelvic pain was the chief complaint in four cases. The ileum and rectosigmoid were routinely opacified with contrast material prior to examination. Endometriosis exhibited a variety of findings including a constricting rectosigmoid mass, a lesion of the pelvic side wall, bowel wall implants, and posthysterectomy pelvic masses. There was no standard CT density; the lesion near the pelvic side wall appeared solid, one cul-de-sac mass appeared solid, and a second had a mixed cystic and solid appearance. Discrete adnexal endometriosis appeared as thick-walled cystic masses (two cases) or as a simple cyst (one case). Bowel wall involvement and the pelvic side wall lesion were not successfully identified by ultrasound. It is concluded that CT can play a role in the diagnosis of endometriosis.
在一组年龄为30 - 43岁的女性中，通过计算机断层扫描（CT）检测到6例因子宫内膜异位症导致的盆腔肿块。4例患者以下腹或盆腔疼痛为主要主诉。检查前常规用造影剂使回肠和直肠乙状结肠显影。子宫内膜异位症表现出多种影像，包括直肠乙状结肠狭窄性肿块、盆腔侧壁病变、肠壁植入物以及子宫切除术后盆腔肿块。CT密度没有标准；盆腔侧壁附近的病变表现为实性，一个直肠子宫陷凹肿块表现为实性，另一个呈囊实性混合外观。散在的附件子宫内膜异位症表现为厚壁囊性肿块（2例）或单纯囊肿（1例）。超声未成功识别肠壁受累情况及盆腔侧壁病变。结论是CT可在子宫内膜异位症的诊断中发挥作用。
