EURORAD ESR

Case 9539

Endometriosis in the canal of Nuck

Author(s)
Monteiro V, Cunha TM

V Monteiro 1
TM Cunha 2

1 Unidade Local de Saúde do Baixo Alentejo, EPE - Beja
2 Instituto Português de Oncologia de Lisboa Franscico Gentil

Email:vanessabmonteiro@gmail.com
 
Patient
female, 26 year(s)
 
 
  • Figure 1
    Ultrasound

    Ultrasonography revealed a hypoechoic right inguinal mass, with ill-defined margins.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: Ultrasound; Procedure: Education; Special Focus: Pathology;
     
     
  • Figure 2
    Axial and Sagittal T2-weighted images

    T2-weighted images revealed an irregular lesion (arrow) with low signal intensity, extending through the right inguinal canal into the right pubic area.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Pathology;
     
     
  • Figure 3
    Axial T1 and Fat-supressed T1-weighted images

    (A) The mass was mainly hypointense on T1-weighted images. (B) Small hyperintense foci were also seen within the lesion, more clearly revealed on fat-suppressed T1-weighted images (arrow).

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Pathology;
     
     
  • Figure 4
    T1-weighted images after intravenous contrast administration

    After the injection of gadolinium contrast material the mass showed minimal enhancement.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Pathology;
     
     
  • Figure 5
    Deep pelvic endometriosis

    T2-weighted images (A) showed a hypointense spiculated lesion involving the utero-sacral ligaments (arrows) with small hyperintense foci (*) on fat-suppressed T1-weighted images (B), indicating hemorrhage.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Pathology;
     
     
Ultrasonography revealed a hypoechoic right inguinal mass, with ill-defined margins.
 
T2-weighted images revealed an irregular lesion (arrow) with low signal intensity, extending through the right inguinal canal into the right pubic area.
 
(A) The mass was mainly hypointense on T1-weighted images. (B) Small hyperintense foci were also seen within the lesion, more clearly revealed on fat-suppressed T1-weighted images (arrow).
 
After the injection of gadolinium contrast material the mass showed minimal enhancement.
 
T2-weighted images (A) showed a hypointense spiculated lesion involving the utero-sacral ligaments (arrows) with small hyperintense foci (*) on fat-suppressed T1-weighted images (B), indicating hemorrhage.
 
 
 
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