0:01

Okay, so let's talk a little bit about the

0:03

torus uterinus as I described a little bit

0:05

earlier because this is definitely something

0:08

that we can see as radiologists on MRI.

0:12

So first of all, what is the torus uterinus?

0:15

So this is a condensation or an

0:18

attachment of the sacrouterine ligaments.

0:21

And this tends to be a location where

0:25

endometriotic implants commonly deposit.

0:28

And some other common areas are the

0:31

posterior vaginal fornix as well.

0:33

So on this diagram, we can see here that

0:36

the torus uterinus is this portion of the

0:40

posterior middle compartment here, so just

0:43

along the posterior midline part of the uterus.

0:46

So that's where the sacrouterine

0:48

ligaments, which are here.

0:49

and here, tend to condense and attach.

0:52

And just because it's a location of

0:55

the torus uterinus, that's where the

0:57

deposits tend to collect. And clinically,

1:00

patients can present with dyspareunia.

1:02

So, based on the patient's history,

1:05

so if you've got a patient that comes to you with

1:07

bleeding or pain or dysuria or dyspareunia,

1:11

you might start to change your search pattern

1:14

a little bit based on the patient's history.

1:15

So dyspareunia suggests deep infiltrating

1:19

type endometriosis, so you know you want

1:21

to definitely make sure you're looking

1:23

at the middle and posterior compartments

1:25

when you're evaluating these patients.

1:28

So here, these circles show you where these

1:31

endometriosis deposits tend to collect,

1:34

and they also collect along the posterior midline,

1:36

and that's where we want to look on the MRI.