MRI Correlation to Intra-Operative Findings of Deeply Infiltrative Endometriosis

Our institution is a major referral center for endometriosis related pelvic pain. Clinical history and physical exam are telling of the presence of disease but may not be comprehensive in detecting the full extent of the endometriosis. Deeply infiltrative endometriosis is a severely debilitating disease in reproductive age women where endometriotic tissue may extent into the retroperitoneal space or the wall of pelvic organs greater than a depth of at least 5 mm. Using MRI can be extremely useful in cases where deeply infiltrative endometriosis is suspected. This allows for pre-operative Mapping of lesions and helps the surgeon plan complete surgical excision and to guide them to the best approach. The goals of this video include a review of our institutions MRI endometriosis protocol, review characteristics on MRI suggestive of deeply infiltrative endometriosis, and to show intra-operative correlation to findings depicted on MRI.