Endometriosis: hourglass shaped lesions
Pelvic pain during periods.
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Two endometriotic cysts are seen in relation to the cervix.
These lesions are typically larger than the rectovaginal septal or retroforniceal lesions (>3 cm), and occur when a posterior forniceal lesion extends cranially toward the anterior rectal wall (commonly associated with rectal muscularis infiltration) but remain sub-peritoneal in location.