PMID- 27590068
OWN - NLM
STAT- MEDLINE
DCOM- 20180205
LR  - 20180910
IS  - 2366-0058 (Electronic)
VI  - 41
IP  - 12
DP  - 2016 Dec
TI  - Is pelvic MRI in women presenting with pelvic endometriosis suggestive of 
      associated ileal, appendicular, or cecal involvement?
PG  - 2404-2410
AB  - PURPOSE: To evaluate whether deep pelvic endometriosis or endometriomas diagnosed 
      at pelvic MRI are associated with extrapelvic bowel endometriosis (EPBE) (ileal, 
      appendicular, or cecal involvement) in order to suggest criteria for performing 
      an additional imaging examination dedicated to the assessment of EPBE. METHODS: 
      Ninety-six patients operated on for deep pelvic endometriosis were 
      retrospectively included. They were classified in two groups according to the 
      presence of surgically and histologically proven EPBE. According to pelvic 
      endometriotic lesions described on the preoperative pelvic MRI, a logistic 
      regression analysis was performed to evaluate a possible association between EPBE 
      and pelvic endometriosis. RESULTS: Eleven patients had EPBE (5 appendicular, 2 
      cecal, and 4 ileocecal lesions) at surgery. In adjusted models, involvement of 
      the right ureter, rectosigmoid, and sigmoid localizations were statistically 
      associated with EPBE with adjusted OR of 9.13 (95% CI 1.98-42.19), 5.8 (95% CI 
      1.12-30.07), and 6.74 (95% CI 1.23-36.77), respectively. CONCLUSIONS: Further 
      imaging evaluation to assess ileal, appendicular, or cecal endometriosis should 
      be proposed in case of sigmoid or rectosigmoid endometriosis diagnosed at pelvic 
      MRI. A right ureteral lesion diagnosed preoperatively should be considered 
      carefully as its association with EPBE is not described so far.
FAU - Gimonet, Helene
AU  - Gimonet H
AUID- ORCID: 0000-0003-0714-9599
AD  - Service de radiologie et imagerie medicale, Hotel-Dieu, CHU de Nantes, 1 place 
      Alexis-Ricordeau, 44093, Nantes, France. helene.gimonet@hotmail.fr.
FAU - Laigle-Querat, Valerie
AU  - Laigle-Querat V
AD  - Service de radiologie et imagerie medicale, Hotel-Dieu, CHU de Nantes, 1 place 
      Alexis-Ricordeau, 44093, Nantes, France.
FAU - Ploteau, Stephane
AU  - Ploteau S
AD  - Service de gynecologie-obstetrique, Hopital Femme-enfant-adolescent, CHU de 
      Nantes, 38 boulevard Jean-Monnet, 44093, Nantes, France.
FAU - Veluppillai, Cergika
AU  - Veluppillai C
AD  - Service de gynecologie-obstetrique, Hopital Femme-enfant-adolescent, CHU de 
      Nantes, 38 boulevard Jean-Monnet, 44093, Nantes, France.
FAU - Leclere, Brice
AU  - Leclere B
AD  - Service d'evaluation medicale et d'epidemiologie, Hopital St Jacques, CHU de 
      Nantes, 85 rue St Jacques, 44093, Nantes, France.
FAU - Frampas, Eric
AU  - Frampas E
AD  - Service de radiologie et imagerie medicale, Hotel-Dieu, CHU de Nantes, 1 place 
      Alexis-Ricordeau, 44093, Nantes, France.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Abdom Radiol (NY)
JT  - Abdominal radiology (New York)
JID - 101674571
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Appendix/diagnostic imaging/pathology/surgery
MH  - Cecal Diseases/diagnostic imaging/pathology/surgery
MH  - Diagnosis, Differential
MH  - Endometriosis/*diagnostic imaging/*pathology/surgery
MH  - Female
MH  - Humans
MH  - Ileal Diseases/diagnostic imaging/pathology/surgery
MH  - Intestinal Diseases/*diagnostic imaging/*pathology/surgery
MH  - Magnetic Resonance Imaging/*methods
MH  - Middle Aged
MH  - Pelvis/*diagnostic imaging/*pathology
MH  - Retrospective Studies
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Bowel
OT  - Deep infiltrating endometriosis
OT  - Ileocecal
OT  - Magnetic resonance imaging
OT  - Sigmoid
EDAT- 2016/09/04 06:00
MHDA- 2018/02/06 06:00
CRDT- 2016/09/04 06:00
PHST- 2016/09/04 06:00 [pubmed]
PHST- 2018/02/06 06:00 [medline]
PHST- 2016/09/04 06:00 [entrez]
AID - 10.1007/s00261-016-0884-7 [pii]
AID - 10.1007/s00261-016-0884-7 [doi]
PST - ppublish
SO  - Abdom Radiol (NY). 2016 Dec;41(12):2404-2410. doi: 10.1007/s00261-016-0884-7.