Cloverleaf sign (deep infiltrating endometriosis)

Last revised by Henry Knipe on 14 Apr 2024

Citation, DOI, disclosures and article data

Citation:

Abdeldjalil B, Knipe H, Cloverleaf sign (deep infiltrating endometriosis). Reference article, Radiopaedia.org (Accessed on 08 May 2024) https://doi.org/10.53347/rID-187075

DOI:

https://doi.org/10.53347/rID-187075

Permalink:

https://radiopaedia.org/articles/187075

rID:

187075

Article created:

2 Apr 2024, Bouhouche Abdeldjalil

Disclosures:

At the time the article was created Bouhouche Abdeldjalil had no financial relationships to ineligible companies to disclose.

View Bouhouche Abdeldjalil's current disclosures

Last revised:

14 Apr 2024, Henry Knipe ◉

Disclosures:

At the time the article was last revised Henry Knipe had the following disclosures:

Integral Diagnostics, Shareholder (ongoing)
Micro-X Ltd, Shareholder (ongoing)

These were assessed during peer review and were determined to not be relevant to the changes that were made.

View Henry Knipe's current disclosures

Revisions:

3 times, by 2 contributors - see full revision history and disclosures

Systems:

Gynaecology

Sections:

Signs

Tags:

cases, case2, snippet

The cloverleaf sign is an MRI sign of deep infiltrating endometriosis described in one case series ¹. It is detectable on T2W sequences in sagittal, coronal, and axial planes when at least three organs (uterus, ovaries, rectum, bowel loops, etc.) are brought closer by constrictive adhesions and detectable T2-weighted hypointense deep infiltrating endometriosis ^1,2.

The cloverleaf sign in deep infiltrating endometriosis suggests that complex surgery is more likely, as it is associated with longer operation times, a greater risk of bowel resection, and blood loss ^1,2.