Motta-Ramírez GA, Corres-Castillo MA, Romo-Aguirre C

Language: Spanish
References: 12
Page: 116-126
PDF size: 500.30 Kb.

ABSTRACT

Background. Multidetector tomography is used to study pelvic pain facilitating the identification of the spectrum of abnormalities of endometriosis.
Objective. Review, by means of multidetector tomography/ colonography, findings that condition the different image patterns and their histopathologic correlation in endometriosis.
Material and method. An observational, retrospective, transverse study (from August 2006 through April 2010) which included 15 patients who underwent multidetector tomography/ colonography and whose final diagnosis was of endometriosis was corroborated by surgery and histopathology. Disorders were classified in 4 types based on their image pattern: I) tumor in abdominal wall; II) occupative colonic lesion; III) colonic inflammatory process, and IV) adnexal tumor.
Results. Pattern I was identified in 2 (13%) patients; pattern II in 1 (7%); pattern III in 2 (13%) patients; and pattern IV in 2 (13%) patients. Eight patients (53%) presented a mixed pattern of II (occupative colonic lesion) and another of the two remaining patterns. In 9 patients (60%) a correlation was established between the image study and the histopathologic study. In 7 patients (47%) a correlation was established between the image study and the histopathologic confirmation of endometriosis.
Conclusions. The identification of pattern II associated with another pattern (by colonography), with suspicion of malignancy was negative in 53% of cases and with correlation of endometriosis in 33%. Consequently, we suggest that in any patient in whom image studies raise a suspicion of occupative lesion or colonic inflammatory process associated with adnexal mass, the possibility of endometriosis should be considered avoiding radical surgery. The association of patterns II with III and IV obliges us to deliberately search for the spectrum of lesions that characterize endometriosis.

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