The aim of this study is to investigate the correlation between the magnetic resonance imaging (MRI) and intraoperative ndings of deep in ltrating endometriosis using the #ENZIAN score. MethodsThis retrospective study included 64 patients who underwent surgery for deep in ltrating endometriosis between January 2017 and August 2020. Preoperative abdominopelvic MRI assessment was evaluated and scored using the #ENZIAN classi cation. Operative scores were considered the gold standard, and the sensitivity, speci city, and positive and negative predictive values (PPV and NPV) of MRI for each category were calculated. ResultsMRI has higher sensitivity and speci city in showing the lesions of the compartments O (ovarian lesions), A (rectovaginal septum and posterior vaginal fornix), and B (uterosacral ligaments and parametrium) (100-100%, 100-100%, and 97-100%, respectively, p<0.001) compared to the other compartments. The lowest sensitivity, speci city, accuracy, and PPV of the MRI was found in compartment P (14%, 76%, 70%, and 7%, respectively). ConclusionWe demonstrated that the #ENZIAN classi cation in MRI reports has signi cant sensitivity and speci city in compartments A, B (uterosacral ligaments and parametrium), and O. Furthermore, the determination of peritoneal lesions via MRI is inadequate.

Figure 1. Computed tomography image. The black arrow shows pleural thickening on the right side

Heterotopik gebelik 1/30000 oranında görülür. Bu olguda hasta rüptüre ektopik komponent sebebi ile oluşan akut batın ile başvurmuştur. Hastanın bilinen bir risk faktörü olmaması tanıyı olduğundan daha zor hale getirmiştir. Hasta ve eşinin intrauterin gebeliği koruma istemi mevcut idi. Hasta bu alanda yeni bir minimal invaziv operasyon tekniği olan doğal orifis ile transluminal endoskopik cerrahi prosedürü ile opere edildi. Post-op 1. günde canlı intrauterin gebelikle taburcu edildi.

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