Journal article
What abdominal radiologists should know about extragenital endometriosis-associated neuropathy
Abdominal radiology (New York), Vol.45(6), pp.1818-1828
06/01/2020
DOI: 10.1007/s00261-018-1864-x
PMID: 30539250
Abstract
Purpose The aim of this study is to provide an overview of endometriosis-associated neuropathy and to review main anatomical concepts of intrapelvic peripheral nerves. Methods In this pictorial essay, we review the anatomy of pelvic nerves and imaging features of endometriosis-associated neuropathy. We also evaluate clinical findings, imaging features, and outcome of seven patients with endometriosis-associated neuropathy. Results Nerve involvement by endometriosis is rare and may manifest with neurological symptoms, including pain, muscle weakness, bowel and bladder incontinence, and paraplegia. The neural involvement may be isolated or caused by a direct extension of a deep infiltrating endometriosis of the pelvic structure. Magnetic resonance imaging (MRI) is a reliable imaging modality for detecting neural involvement of endometriosis. On MRI, the main imaging features are retractile fibrous tissue and endometriomas. The signal intensity of the endometriotic tissue may vary depending on the age of the hemorrhage and the proportion of endometrial cells and stroma. Early diagnosis and treatment may avoid permanent neural damage. Conclusion Considering that patients with endometriosis usually undergo pelvic MRI, which is generally reported by a non-musculoskeletal-trained radiologist, abdominal radiologists need to be familiar with the pelvic nerve anatomy and the possible patterns of presentation of neural endometriosis. Early diagnosis may obviate permanent nerve damage and MRI is a reliable tool for the diagnosis.
Details
- Title: Subtitle
- What abdominal radiologists should know about extragenital endometriosis-associated neuropathy
- Creators
- Jucelio Pereira Moura Filho - Hosp Sirio Libanes, Dept Radiol, Adma Jafet 91, BR-01308050 Sao Paulo, SP, BrazilRenata Vidal Leao - Hospital Sírio-LibanêsNatally Horvat - Hospital Sírio-LibanêsPaulo Victor Partezani Helito - Hosp Sirio Libanes, Dept Radiol, Adma Jafet 91, BR-01308050 Sao Paulo, SP, BrazilDenise Tokechi Amaral - Hospital Sírio-LibanêsPublio Cesar Cavalcanti Viana - Hosp Sirio Libanes, Dept Radiol, Adma Jafet 91, BR-01308050 Sao Paulo, SP, BrazilIsabel Curcio Felix Louza - Hosp Sirio Libanes, Dept Radiol, Adma Jafet 91, BR-01308050 Sao Paulo, SP, BrazilMarcelo Bordalo-Rodrigues - Hosp Sirio Libanes, Dept Radiol, Adma Jafet 91, BR-01308050 Sao Paulo, SP, Brazil
- Resource Type
- Journal article
- Publication Details
- Abdominal radiology (New York), Vol.45(6), pp.1818-1828
- Publisher
- Springer Nature
- DOI
- 10.1007/s00261-018-1864-x
- PMID
- 30539250
- ISSN
- 2366-004X
- eISSN
- 2366-0058
- Number of pages
- 11
- Language
- English
- Date published
- 06/01/2020
- Academic Unit
- Radiology
- Record Identifier
- 9984697627702771
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