Utilization of MRI for Extra Pelvic Endometriosis

Study Objective

Describe how our team utilizes a specific MRI endometriosis protocol to surgically optimize patients with extra pelvic endometriosis.

Design

We present the preoperative imaging along with the intraoperative findings in a series of patients with endometriosis. These patients have either bladder, abdominal wall, or diaphragmatic endometriosis.

Setting

Preoperative examination and MRI were completed at an endometriosis center. Surgery took place in a large academic center.

Patients or Participants

Patients in this study were seen by the surgeons at the endometriosis center at the Cleveland Clinic and underwent an endometriosis specific MRI given their history and physical exam findings. They subsequently had surgical excision of their endometriosis.

Interventions

MRI for evaluation of endometriosis followed by laparoscopic or robot assisted excision of endometriosis.

Measurements and Main Results

Surgical video revealing MRI utilization for extra pelvic endometriosis surgery.

Conclusion

An endometriosis specific MRI protocol can be utilized to aid in surgical optimization for patients presenting with symptoms concerning for extra pelvic endometriosis.