High prevalence of endometriosis in women with chronic pelvic pain and confirmed pelvic varicosities: a multiparametric MRI study

IF 2.4 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Clinics Pub Date : 2026-01-01 Epub Date: 2026-03-03 DOI:10.1016/j.clinsp.2026.100895

Mira Zlotnik , Marcos de Lorenzo Messina , Thiago Dieb Ristum Vieira , Vinicius Bertoldi , Andrei Skromov de Albuquerque , Pedro Puech-Leão , Edmund Chada Baracat

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引用次数: 0

Abstract

Objective

Chronic Pelvic Pain (CPP) presents significant diagnostic challenges, often involving multiple pathologies, including endometriosis and pelvic venous disorders. This study examined the prevalence of endometriosis among women with confirmed pelvic varicosities.

Methods

The authors performed a retrospective analysis of 52 women with CPP and pelvic varicosities who underwent multiparametric magnetic resonance venography between January 2019 and December 2023. All images were reviewed by a single experienced radiologist, blinded to clinical data and vascular findings, to identify radiological signs of endometriosis.

Results

Among the 52 women, 32 exhibited radiological findings consistent with endometriosis, corresponding to a prevalence of 61.5% (95% CI: 47.0%–74.5%).

Conclusion

This study demonstrates a high prevalence of endometriosis among women with pelvic varicosities. Multiparametric MRI proved effective as a non-invasive diagnostic modality capable of identifying both vascular and gynecologic abnormalities in a single session, supporting integrated assessment approaches for women with CPP. Limitations include the retrospective design and the lack of histological confirmation of endometriosis.

查看原文本刊更多论文

慢性盆腔疼痛和确认盆腔静脉曲张的女性子宫内膜异位症的高患病率：一项多参数MRI研究。

目的：慢性盆腔疼痛（CPP）提出了重大的诊断挑战，通常涉及多种病理，包括子宫内膜异位症和盆腔静脉疾病。本研究调查了确诊盆腔静脉曲张的女性中子宫内膜异位症的患病率。方法：作者对2019年1月至2023年12月期间接受多参数磁共振静脉造影的52名患有CPP和骨盆静脉曲张的女性进行了回顾性分析。所有图像由一位经验丰富的放射科医生审查，不了解临床数据和血管发现，以确定子宫内膜异位症的放射学征象。结果：在52例女性中，32例表现出与子宫内膜异位症一致的放射学表现，患病率为61.5% （95% CI: 47.0%-74.5%）。结论：本研究表明子宫内膜异位症在盆腔静脉曲张患者中有很高的患病率。多参数MRI被证明是一种有效的非侵入性诊断方式，能够在一次会话中识别血管和妇科异常，支持对女性CPP的综合评估方法。局限性包括回顾性设计和缺乏子宫内膜异位症的组织学证实。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinics 医学-医学：内科

CiteScore

4.10

自引率

3.70%

发文量

129

审稿时长

52 days

期刊介绍： CLINICS is an electronic journal that publishes peer-reviewed articles in continuous flow, of interest to clinicians and researchers in the medical sciences. CLINICS complies with the policies of funding agencies which request or require deposition of the published articles that they fund into publicly available databases. CLINICS supports the position of the International Committee of Medical Journal Editors (ICMJE) on trial registration.