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Utility of diffusion weighted imaging in diagnosing subdiaphragmatic endometriosis presenting as shoulder pain
Extrapelvic endometriosis (EPE) is a rare entity which may potentially occur at any site. Symptomatic EPE is now increasingly being managed laparoscopically. Imaging is imperative in diagnosis as well as extent delineation prior to surgery. In addition to increasing the success rate of diagnostic la...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5644326/ https://www.ncbi.nlm.nih.gov/pubmed/29089681 http://dx.doi.org/10.4103/ijri.IJRI_86_16 |
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author | Singh, Anuradha Das, Chandan J Das, Bimal K Gupta, A K |
author_facet | Singh, Anuradha Das, Chandan J Das, Bimal K Gupta, A K |
author_sort | Singh, Anuradha |
collection | PubMed |
description | Extrapelvic endometriosis (EPE) is a rare entity which may potentially occur at any site. Symptomatic EPE is now increasingly being managed laparoscopically. Imaging is imperative in diagnosis as well as extent delineation prior to surgery. In addition to increasing the success rate of diagnostic laparoscopy, prior knowledge of EPE at certain sites may modify the standard surgical technique. We present here an unusual case of chronic pain in the right shoulder in a 26-year-old female caused by subdiaphragmatic endometriosis (SDE). It was noticed on conventional magnetic resonance imaging (MRI) sequences; however, due to the lack of the characteristic signal intensity, imaging findings were noncontributory. Diffusion-weighted imaging (DWI) facilitated its characterization and precisely mapped the extent of involvement. SDE should be suspected in young females presenting with cyclical shoulder pain. Due to nonspecific clinical features, it may remain undiagnosed. MRI is the imaging modality of choice in evaluation of EPE. Including DWI sequence in the MR protocol increases the diagnostic precision besides delineating the extent of involvement noninvasively. |
format | Online Article Text |
id | pubmed-5644326 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-56443262017-10-31 Utility of diffusion weighted imaging in diagnosing subdiaphragmatic endometriosis presenting as shoulder pain Singh, Anuradha Das, Chandan J Das, Bimal K Gupta, A K Indian J Radiol Imaging Gastrointestinal Radiology and Hepatology Extrapelvic endometriosis (EPE) is a rare entity which may potentially occur at any site. Symptomatic EPE is now increasingly being managed laparoscopically. Imaging is imperative in diagnosis as well as extent delineation prior to surgery. In addition to increasing the success rate of diagnostic laparoscopy, prior knowledge of EPE at certain sites may modify the standard surgical technique. We present here an unusual case of chronic pain in the right shoulder in a 26-year-old female caused by subdiaphragmatic endometriosis (SDE). It was noticed on conventional magnetic resonance imaging (MRI) sequences; however, due to the lack of the characteristic signal intensity, imaging findings were noncontributory. Diffusion-weighted imaging (DWI) facilitated its characterization and precisely mapped the extent of involvement. SDE should be suspected in young females presenting with cyclical shoulder pain. Due to nonspecific clinical features, it may remain undiagnosed. MRI is the imaging modality of choice in evaluation of EPE. Including DWI sequence in the MR protocol increases the diagnostic precision besides delineating the extent of involvement noninvasively. Medknow Publications & Media Pvt Ltd 2017 /pmc/articles/PMC5644326/ /pubmed/29089681 http://dx.doi.org/10.4103/ijri.IJRI_86_16 Text en Copyright: © 2017 Indian Journal of Radiology and Imaging http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Gastrointestinal Radiology and Hepatology Singh, Anuradha Das, Chandan J Das, Bimal K Gupta, A K Utility of diffusion weighted imaging in diagnosing subdiaphragmatic endometriosis presenting as shoulder pain |
title | Utility of diffusion weighted imaging in diagnosing subdiaphragmatic endometriosis presenting as shoulder pain |
title_full | Utility of diffusion weighted imaging in diagnosing subdiaphragmatic endometriosis presenting as shoulder pain |
title_fullStr | Utility of diffusion weighted imaging in diagnosing subdiaphragmatic endometriosis presenting as shoulder pain |
title_full_unstemmed | Utility of diffusion weighted imaging in diagnosing subdiaphragmatic endometriosis presenting as shoulder pain |
title_short | Utility of diffusion weighted imaging in diagnosing subdiaphragmatic endometriosis presenting as shoulder pain |
title_sort | utility of diffusion weighted imaging in diagnosing subdiaphragmatic endometriosis presenting as shoulder pain |
topic | Gastrointestinal Radiology and Hepatology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5644326/ https://www.ncbi.nlm.nih.gov/pubmed/29089681 http://dx.doi.org/10.4103/ijri.IJRI_86_16 |
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