Evaluation of the Usefulness of the MRI Jelly Method for Diagnosing Complete Cul-de-Sac Obliteration
Figure 2
(a) MR image obtained before jelly administration in a patient with endometriosis but no CCDSO. Ascites is seen in the Pouch of Douglas (white arrow). (b) MR image obtained after jelly administration in the same patient. The surface of the rectal wall has a smooth appearance, and the posterior vaginal vault (asterisk) is visualized along with the ascites in the Pouch of Douglas (white arrow). (c) Laparoscopic findings in the same patient. The posterior vaginal vault is easily visualized in the area where the handle of the manipulator (asterisk) is seen. The uterosacral ligaments are also apparent (white arrow).
