Reason: pt with severe endometriosis s/p TAH, LSO. Now with severe pelvic pain, constipation History: abdominal pain, constipation PELVIS:UTERUS, ADNEXA: Status post hysterectomy. Small right ovarian follicle.There is spiculated enhancing tissue in the pelvis, the region of the rectosigmoid, measuring approximately 4.5 x 2.6 cm (903/67), likely representing endometriosis. This tissue surrounds the rectosigmoid, extending along left lateral pelvic sidewall, and causes obstruction of the left distal ureter (7/30).BLADDER: Dilated left ureter.LYMPH NODES: No significant abnormality noted..BOWEL, MESENTERY: There is bowel wall thickening involving the rectum and distal sigmoidBONES, SOFT TISSUES: No significant abnormality noted.OTHER: Small amount of free fluid in the pelvis.
1.Soft tissue within the pelvis, surrounding the rectosigmoid, is suspicious for endometriosis.2.Bowel wall thickening of the adjacent rectosigmoid may suggest an associated colitis.