Keywords:
Quality assurance, Diagnostic procedure, MR, Urinary Tract / Bladder, Pelvis, Genital / Reproductive system female
Authors:
M. C. Morgano, V. Molinelli, C. Tagliaferri, C. Fugazzola; Varese/IT
DOI:
10.26044/ecr2019/C-3304
Conclusion
The ureteral localization of endometriotic process is a rather rare event,
reported in literature between 0.3% and 12%; in our experience,
it was calculated around 3.2% of patients with a positive history of endometriosis who performed diagnostic MR.
The diagnosis of this localization appears particularly difficult,
since it is difficult to find symptoms if not accompanied by hydronephrosis; moreover,
the absence of hydronephrosis makes the instrumental diagnosis particularly complex.
Therefore from our study we can state that for distances of less than 2 cm the ureteral localization is to be considered as suspected for extrinsic involvement.
While for distance values greater than 30 mm,
the ureteral involvement is highly excluded.
However,
from all the statistical tests used,
it emerges that the group of patients with a distance between 2 and 3 cm,
represent a blind area where is very difficult to say if there is ureteral involvement by the disease.