Yu C Y, Perez-Reyes M, Brown J J, Borrello J A
Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO 63110.
J Comput Assist Tomogr. 1994 Mar-Apr;18(2):269-71. doi: 10.1097/00004728-199403000-00019.
We describe the MR appearance of endometriosis involving the umbilicus in two patients. One patient had a history of laparoscopy performed through the umbilicus; the other had an umbilical hernia.
MR imaging was performed using both a body coil and a spine coil (with the patient lying prone on the spine coil). The lesions were surgically removed and their MR appearance was correlated with the results of histologic analysis.
The lesions were well delineated on MRI and showed evidence of prior hemorrhage consistent with endometriosis. Both lesions were shown to be endometriosis at surgical pathology.
MR imaging was useful for delineating the size and location of the lesions and excluding intraabdominal extension.
我们描述了两名患有累及脐部子宫内膜异位症患者的磁共振成像(MR)表现。一名患者有经脐部进行腹腔镜检查的病史;另一名患者有脐疝。
使用体部线圈和脊柱线圈进行MR成像(患者俯卧于脊柱线圈上)。病变经手术切除,并将其MR表现与组织学分析结果进行对比。
病变在MRI上边界清晰,显示出与子宫内膜异位症相符的陈旧性出血迹象。手术病理显示两个病变均为子宫内膜异位症。
MR成像有助于明确病变的大小和位置,并排除腹腔内蔓延情况。