Deep pelvic endometriosis (MRI)

Case contributed by Bahman Rasuli
Diagnosis almost certain


Chronic pelvic pain with symptoms of dysmenorrhea, dyschezia, constipation.

Patient Data

Age: 40 years
Gender: Female

Evaluation of the rectouterine space demonstrates an abnormal signal(T2 fat sat hypointense) heterogenous enhancing infiltrative ill-defined area which is inseparable from the anterior mesorectal fascia of the rectum in mid to right side of the pelvic cavity

Spiculation within the surrounding fat corresponds to the fibrotic reaction

Uterus shows heterogeneous parenchyma signal intensity.

Case Discussion

Deep infiltrating endometriosis in the rectouterine space.

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