Magnetic Resonance Enema in Rectosigmoid Endometriosis

Ennio Biscaldi, Fabio Barra, Simone Ferrero

Research output: Contribution to journalReview article


Intestinal endometriosis occurs in 4% to 37% of women with deep endometriosis (DE). Noninvasive diagnosis of presence and characteristics of rectosigmoid endometriosis permits the best counseling of patients and ensures best therapeutic planning. Magnetic resonance enema (MR-e) is accurate in diagnosing DE. After colon cleansing, rectal distention and opacification improves the performance of MR-e in diagnosing rectosigmoid endometriosis. MR imaging cannot optimally assess the depth of penetration of endometriosis in the intestinal wall. There is a need for multicentric studies with a larger sample size to evaluate reproducibility of MR-e in diagnosis of rectosigmoid endometriosis for less experienced radiologists.

Original languageEnglish
Pages (from-to)89-104
Number of pages16
JournalMagnetic Resonance Imaging Clinics of North America
Issue number1
Publication statusPublished - Feb 2020



  • Diagnosis
  • Endometriosis
  • MR imaging
  • Rectosigmoid endometriosis
  • Rectosigmoid opacification

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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