Background:-Endometriosis is a condition where tissue similar to the lining of the uterus; the
endometrial stroma and glands,endometriosis was further classified as endometriosis interna
and endometriosis externa.Some patients with endometriosis being asymptomatic and others
have disabling pelvic pain, infertility, or adnexal masses.
Methods:-Conducted on 20 Patients diagnosed clinically as endometriosis and/or
adenomyosis and fulfilling the inclusion and exclusion criteria aiming to prove the ability of
ultrasound and MRI to accurately diagnose ectopic endometrial lesions like endometriosis and
adenomyosis.
Results:MRI proved the true positive presence of endometriosis and/or adenomyosis in 15
out of 20 cases (75%). Pure endometriosis was actually diagnosed in 10 cases from all 15 true
positive cases (66.6%), adenomyosis was diagnosed in 3 cases (20%), and mixed
endometriosis and adenomyosis were diagnosed in 2 cases (13.4%).Associated MRI findings
included uterine fibroids (26.6%), adhesions in (40%), and Hematosalpinx (20%) from all 15
true positive cases .
Key words:Ectopic Endometrium, Ultrasound, MRI and Intervention plan