Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Endometriosis is a chronic, estrogen‐dependent condition that affects 10–15% of reproductive‐aged women and up to 50% of those with infertility. While classical pelvic endometriosis is well studied, rare and atypical presentations such as polypoid endometriosis, deeply infiltrating endometriosis (DIE), and extrapelvicmanifestations remain underdiagnosed. MRI has emerged as a reliable, non‐invasive modality for evaluating both typical and atypical forms of the disease. This observational study was conducted at Sree Mookambika Institute of Medical Sciences, Tamil Nadu, from August 2024 to February 2025. Thirty women, aged 20‐45 years with suspected or confirmed endometriosis underwent MRI evaluation. Imaging protocols included T1‐weighted (with and without fat suppression), T2‐weighted, and diffusion‐weighted sequences. MRI findings were correlated with clinical symptoms and, when available, histopathological confirmation. The most common clinical symptoms were dysmenorrhea (83.3%), dyspareunia (50%), and infertility (40%). MRI revealed T2 shading in 66.7% of cases, T2 dark spot sign in 50%, DIE in 60%, andextrapelvic lesions in 16.7%. Frequent lesion sites included the ovaries (73.3%), rectosigmoid colon (26.7%), diaphragm (10%), and abdominal wall (6.7%). Histopathology confirmed fibrotic nodules (60%) and hemorrhagic foci (40%). MRI effectively demonstrated lesion composition, distribution, and treatment response. MRI is a powerful tool for identifying rare and atypical endometriotic presentations. Integrating advanced imaging protocols can improve diagnostic accuracy, reduce delays, and enhance surgical planning and treatment monitoring.
How to cite this article:
Sathish Babu, P. Revanth and O.C. Assvath. MRI Imaging Patterns in Rare and Atypical Presentations of Endometriosis.
DOI: https://doi.org/10.36478/makrjms.2024.11.692.697
URL: https://www.makhillpublications.co/view-article/1815-9346/makrjms.2024.11.692.697