Role of Ultrasound and MRI In diagnosis of pelvic endometriosis and adenomyosis
DOI:
https://doi.org/10.54361/Keywords:
Ectopic Endometrium, Ultrasound, MRI and Intervention plan.Abstract
Background: Endometriosis is a condition where tissue similar to the lining of the uterus; the endometrial stroma and glands,endometriosis was further classified as endometriosis interna and endometriosis externa.Some patients with endometriosis being asymptomatic and others have disabling pelvic pain, infertility, or adnexal masses. Methods: Conducted on 20 Patients diagnosed clinically as endometriosis and/or adenomyosis and fulfilling the inclusion and exclusion criteria aiming to prove the ability of ultrasound and MRI to accurately diagnose ectopic endometrial lesions like endometriosis and adenomyosis. Results: MRI proved the true positive presence of endometriosis and/or adenomyosis in 15 out of 20 cases (75%). Pure endometriosis was actually diagnosed in 10 cases from all 15 true positive cases (66.6%), adenomyosis was diagnosed in 3 cases (20%), and mixed endometriosis and adenomyosis were diagnosed in 2 cases (13.4%). Associated MRI findings included uterine fibroids (26.6%), adhesions in (40%), and Hematosalpinx (20%) from all 15 true positive cases .
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