Presentation
Pelvic pain during periods.
Patient Data
Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.
Two endometriotic cysts are seen in relation to the cervix.
Lesion 1 lies to the right of the cervix and contains layering debris.
Lesion 2 lies posterior to the cervix, containing scattered foci of high T1 signal (best seen on T1FS), with associated rectal wall thickening and loss of fat planes suspicious for rectal involvement.
Case Discussion
These lesions are typically larger than the rectovaginal septal or retroforniceal lesions (>3 cm), and occur when a posterior forniceal lesion extends cranially toward the anterior rectal wall (commonly associated with rectal muscularis infiltration) but remain sub-peritoneal in location.
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