APPLIED RADIOLOGICAL ANATOMY

ANATOMY

PELVIS

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Main differential diagnosis of endrometiosis
A
Adenomyosis
B
Fribomioma
C
hemorrhagic cyst
D
None of the above
Explanation: 

Detailed explanation-1: -Other conditions that should be considered when evaluating a patient with suspected endometriosis include dysmenorrhea, pelvic adhesions, serositis, functional or neoplastic ovarian cyst, uterine malformation, adenomyosis, colon cancer, and ovarian cancer.

Detailed explanation-2: -Diffferential Diagnosis These conditions include acute appendicitis and ectopic pregnancy. Other important differential diagnoses include ovarian torsion, PID (pelvic inflammatory disease) and mesenteric adenitis.

Detailed explanation-3: -Neither an exam nor imaging provides enough information for your provider to know that the mass is an ovarian endometrioma, though. For example, an ovarian endometrioma and a hemorrhagic cyst often look alike on imaging tests because they both contain blood.

Detailed explanation-4: -“Endometriosis pain comes with the menstrual cycle and sex. Pain from ovarian cysts tends to be more acute, the ‘wake you in the middle of the night’ kind of pain.”

Detailed explanation-5: -Haemorrhagic cyst is usually unilocular and does not exhibit T2 shading whereas endometriotic cysts are multilocular and bilateral [3]. On follow-up examinations, the haemorrhagic cyst usually resolves. Mucinous cyst can show T1 hyperintense signal, but it is usually less bright compared to endometriotic cyst.

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