Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Radiol. Mar 28, 2026; 18(3): 118143
Published online Mar 28, 2026. doi: 10.4329/wjr.v18.i3.118143
Published online Mar 28, 2026. doi: 10.4329/wjr.v18.i3.118143
Characterization of endometriosis in patients with Mullerian anomalies using the Enzian classification: A retrospective cohort study
Ishan Kumar, Shweta Kumari, Ritu Ojha, Rupam Kumari, Kajal Kushwaha, Pramod Kumar Singh, Ashish Verma, Department of Radiodiagnosis and Imaging, Institute of Medical Sciences, Banaras Hindu University, Varanasi 221005, Uttar Pradesh, India
Co-corresponding authors: Ishan Kumar and Ashish Verma.
Author contributions: Kumar I and Verma A contributed to concept and they contributed equally to this manuscript as co-corresponding authors; Kumari S, Kumari R, and Kushwaha K contributed to data collection; Kumar I and Kumari S contributed to first draft; Singh PK and Ojha R contributed to revision of manuscript. All authors have read and approved the final manuscript.
Institutional review board statement: The study has been approved Institute Ethics Committee (approval No. IMS/IEC/2025/7869).
Informed consent statement: Patients were not required to give informed consent to the study because the analysis used anonymous clinical data that were obtained after each patient agreed to treatment by written consent.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Data sharing statement: The data is available with the corresponding author and will be provided at a reasonable request.
Corresponding author: Ishan Kumar, MD, Department of Radiodiagnosis and Imaging, Institute of Medical Sciences, Banaras Hindu University, BHU Campus, Varanasi 221005, Uttar Pra
Received: December 25, 2025
Revised: January 25, 2026
Accepted: March 5, 2026
Published online: March 28, 2026
Processing time: 91 Days and 23 Hours
Revised: January 25, 2026
Accepted: March 5, 2026
Published online: March 28, 2026
Processing time: 91 Days and 23 Hours
Core Tip
Core Tip: This study uses magnetic resonance imaging with structured interpretation to characterize endometriosis in patients with Mullerian anomalies, an association traditionally explored through surgical series. By integrating the European Society of Human Reproduction and Embryology/European Society for Gynaecological Endoscopy classification of Mullerian anomalies with Enzian mapping of endometriosis, the study demonstrates that disease prevalence and distribution vary with uterine configuration and are strongly influenced by genital tract obstruction. The findings highlight the value of an anatomy-driven, magnetic resonance imaging-based approach for evaluating this complex and heterogeneous patient population.