Presentation
Abdominal pain and infertility
Patient Data
MR images show 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.
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 major. The endometriotic lesions involve round ligaments in up to 14% of cases. Thus, a systematic radiologic assessment of these ligaments is very important.