| Title: |
Epidemiological-Clinical Profile and Magnetic Resonance Imaging (MRI) of Endometriosis in Kinshasa (2022--2023). |
| Authors: |
Mbambi, F. D.; Bukumba, C. M.; Tongo, S. Y.; Letumu, N. B.; Tshienda, F. T.; Mazoba, T. K.; Boloweti, D. B.; Ifinji, R. E.; Simanyama, P. L.; Aundu, A. M.; Mukaya, J. T.; Mvila, G. L. |
| Source: |
Orapuh Journal; 2025, Vol. 6 Issue 7, p1-7, 7p |
| Subject Terms: |
MAGNETIC resonance imaging; CHILDBEARING age; MENSTRUATION disorders; RESOURCE-limited settings; SYMPTOMS |
| Geographic Terms: |
KINSHASA (Congo) |
| Abstract: |
Introduction Endometriosis is a chronic, often underdiagnosed gynaecological condition affecting women of reproductive age, with a growing impact on quality of life and fertility worldwide. Despite its prevalence, limited data are available in sub- Saharan African settings, including Kinshasa. Purpose To describe the epidemiological, clinical, and MRI features of endometriosis in women undergoing pelvic MRI in Kinshasa between 2022 and 2023. Methods A retrospective descriptive cross-sectional study was conducted using records from three MRI centres in Kinshasa. Data were collected from patients with a clinical or ultrasound suspicion of endometriosis and an MRI-confirmed diagnosis. Variables analysed included age, clinical presentation, MRI indications, protocols used, and forms of endometriosis identified. Results A total of 83 women were included, with a mean age of 37 ± 9 years. Most patients (58%) were aged between 20 and 40 years. The predominant clinical presentations were chronic pelvic pain and infertility (53%), followed by dysmenorrhoea and menstrual disorders (22%). MRI was most frequently requested for suspected endometriosis (65%). Adenomyosis was the most common form observed (40%), particularly in women over 40, while ovarian endometriosis accounted for 20% of cases. Deep pelvic endometriosis was more frequent in women under 25. Vaginal and rectal opacification with contrast was used in 43% of cases, mostly when performed by general radiologists. Conclusion Endometriosis is prevalent among women of reproductive age in Kinshasa, with chronic pelvic pain and infertility as key presenting complaints. MRI remains a valuable diagnostic tool, especially for detecting adenomyosis and ovarian endometriosis. These findings emphasise the importance of improved diagnostic strategies and awareness in low-resource settings. [ABSTRACT FROM AUTHOR] |
| : |
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| Database: |
Complementary Index |