Fig. 6
Anterior adhesions in the vesicouterine pouch after C-section in a 40-year-old woman with medical history of pelvic endometriosis. a Sagittal and (b) axial T2-W MR images show a T2-hypointense fibrous thickening of the vesicouterine pouch, with severe adhesions of the uterine body (arrows). c Axial T1-W fat-suppressed MR image shows no hemorrhagic foci in the anterior subperitoneal space (arrow). Endometriosis surgical management has been decided. During surgical procedure, pelvic anterior symphysis was proven with no obvious endometriosis lesion (confirmed with negative biopsies at pathology)