Purpose or Case Report: Endometriosis remains an important cause of pelvic pain in menstruating individuals. At our tertiary Paediatric hospital, we have seen a year-on-year rise in requests to exclude endometriosis using MRI scan. This rise is reflective of the increased awareness around endometriosis widely published recently which includes the importance of the MDT to reach diagnosis and shape treatment i.e. medical and/or surgical. As a result of this, our institution has optimised the paediatric gynaecology MR protocols to better align with that of our adult colleagues to support the benign teenage gynaecology clinic recently merged within our services since 2022 to achieve smooth transition from paediatric to adult services. The limitations of diagnosing endometriosis are widely published, and scans are performed to detect those signal changes which directly but also indirectly indicate endometriosis. For instance, direct signs may be adenomyosis, focal plaques or endometriotic deposits whilst indirect signs would be those related to adhesions, ovarian position, haematosalpinx etc. Out of this cohort we present salient findings in adolescent endometriosis using our enhanced imaging protocol which includes narrow field of view, axial, coronal and sagittal fast spin echo T2, axial T1 with and without fat saturation, an axial T2 fat saturated sequence and diffusion weighted imaging. The latter added to characterise any suspicious adnexal lesions. In comparison to the adult service, we do not use intravaginal gels in children. We do not include contrast or buscopan to facilitate scan time, reduce potential side effects and eliminate needle usage in younger patients. As reporters, we regularly attend the Endometriosis MDTs held at our institution to develop our skills. Using our inbuilt secure chat and messaging system we are now in better contact with our gynaecology colleagues. To build on this soon we aim to set up our own adolescent benign gynaecology meeting.
Methods & Materials:
Results:
Conclusions: