Endometriosis involving round ligaments

Case contributed by Dr Gustavo Aguiar

Presentation

Abdominal pain and infertility

Patient Data

Age: 40 years
Gender: Female

MR images shows a round lesion with low signal intensity involving the round ligaments at their insertion sites with a myometrium infiltration. There are also bilateral ovarian endometriomas

Annotated image

- Red arrows/red circle: round lesion involving the round ligaments at their insertion sites

- U: uterus

- B: bladder

- V: vagina

Case Discussion

The round ligament attaches to the anterolateral uterine fundus below the fallopian tubes. It courses through the inguinal canal and terminates in the labium majorum.The endometriotic lesions involves round ligaments in up to 14% of cases. Thus, a systematic radiologic assessment of these ligaments is very important.

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Case information

rID: 68357
Published: 28th May 2019
Last edited: 14th Aug 2019
System: Gynaecology
Inclusion in quiz mode: Included
Institution: Clínica Villas Boas

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