In other cases, you may need to get the whole cyst taken out. [4] Endometriosis was first determined to be a separate condition in the 1920s. They may also lead to hydronephrosis, although in most cases hydronephrosis is caused by fibrosis secondary to the endometriosis. They are given the name chocolate cysts due to their classic appearance at surgery where they appear to contain dark viscous material surrounded by a fibrous wall of variable thickness.5, The ovaries are the most common location for endometriomas. [97] Surgery for diagnoses also allows for surgical treatment of endometriosis at the same time. Se Capacity of endometrial thickness measurement to diagnose endometrial carcinoma in asymptomatic postmenopausal women: a systematic review and meta-analysis. Malignant transformation of pelvic endometriosis: MR imaging findings and pathologic correlation. Methods: Plain and enhanced imaging data, including CT (n=5) and MRI (n=6) of 11 [98] Health care providers may call areas of endometriosis by different names, such as implants, lesions, or nodules. On this Wikipedia the language links are at the top of the page across from the article title. [157], It chiefly affects adults from premenarche to postmenopause, regardless of race or ethnicity or whether or not they have had children. [69], Researchers are investigating the possibility that the immune system may not be able to cope with the cyclic onslaught of retrograde menstrual fluid. Hydrosalpinx with high signal on T2WI and low signal on T1-fatsat (red arrow). The T1-fatsat helps differentiate endometriomas from mature cystic teratomas, which usually contain fat. During a laparoscopic procedure, a surgeon will make several small government site. Resurgence of lesions tend to appear in the same location if the lesions were not completely removed during surgery. The role of MRI in the diagnosis and management of endometriosis is gaining recognition and becoming increasingly prevalent. A group of medications that doctors call GnRH agonists puts your body into temporary menopause. Takeuchi M, Matsuzaki K, Kubo H, Nishitani H. J Comput Assist Tomogr. It was also noted that the association can be as high as 79% if junctional zone thickness of 10mm was used for the diagnosis of adenomyosis (Figure 4).17, Cancers arising in ovarian or extraovarian endometriosis is rare, seen in 1% of women with endometriosis. National Library of Medicine Obstet Gynecol 1980;56:814. Please enable it to take advantage of the complete set of features! Results: [198] Since pain is the primary symptom of endometriosis, this makes it increasingly possible for doctors to dismiss pain symptoms when their patient is Black. Directions Advertisement. [99] Early endometriosis typically occurs on the surfaces of organs in the pelvic and intra-abdominal areas. Transvaginal ultrasonography is the first line of investigation in patients with suspected bowel endometriosis. The .gov means its official. The urinary tract is involved in only 4% of women with endometriosis of which around 90% involve the bladder. Endometriosis caused colonic ileus, ureteral obstruction and hypertension]", "A retrospective analysis of ovarian endometriosis during pregnancy", "Thoracic endometriosis presenting as a catamenial hemothorax with discordant video-assisted thoracoscopic surgery", "Women with endometriosis at higher risk for heart disease | American Heart Association", 20.500.11820/fa3c779d-3cc7-4d0d-b93a-d7176fd8244d, "Health-related quality of life in women with endometriosis: a systematic review", "A psychological profile of endometriosis patients in comparison to patients with pelvic pain of other origins", "Contemporary genetic technologies and female reproduction", "Genetic variants underlying risk of endometriosis: insights from meta-analysis of eight genome-wide association and replication datasets", "MUC16 mucin 16, cell surface associated [Homo sapiens (human)] - Gene - NCBI", "FN1 fibronectin 1 [Homo sapiens (human)] - Gene - NCBI", "Meta-analysis identifies five novel loci associated with endometriosis highlighting key genes involved in hormone metabolism", "Early menstrual characteristics associated with subsequent diagnosis of endometriosis", "Is early age at menarche a risk factor for endometriosis? 22.1.1 Definition. Metastatic spread can occur via hematologic or lymphatic routes but can also occur by perineural extension.18. Superficial peritoneal implants are hemorrhagic and nonhemorrhagic deposits on the surface of pelvic organs or the peritoneum, favoring the cul-de-sacs and adnexae.4 They are classically described as tiny powder burns which appear blue or black on laparoscopy, but can be white, clear, or red, depending on the degree of fibrosis, scarring, and hemorrhage. Bookshelf Larger lesions may be seen within the ovaries as endometriomas or "chocolate cysts", "chocolate" because they contain a thick brownish fluid, mostly old blood. with a homogeneous hyperintense signal intensity on T1- and T1-fatsat sequences. Preoperative mapping of disease extension is important to decide whether surgical intervention is indicated, and if so, for planning complete surgical excision. [1] Infertility occurs in up to half of affected individuals. Surgery was performed in 293 patients, and confirmation was obtained in 354 lesions. Ultrasonographic evaluation of the endometrium in postmenopausal vaginal bleeding. AJR Am J Roentgenol. Rectal and vaginal gel help optimize visualization of endometriosis deposits on the vaginal and rectal wall. [62], Retrograde menstruation alone is not able to explain all instances of endometriosis, and additional factors such as genetics, immunology, stem cell migration, and coelomic metaplasia (see "Other theories" on this page) are needed to account for disseminated disease and why many individuals with retrograde menstruation are not diagnosed with endometriosis. WebMR findings highly suggestive of an endometrial cyst included adhesions to the surrounding organs (e.g., loss of clear margin of the uterine body and tethered Others dont have any symptoms at all. Trehan's temporary ovarian suspension, a technique in which the ovaries are suspended for a week after surgery, may be used to reduce the incidence of adhesions after endometriosis surgery. To achieve a better surveillance, a 3-year period of follow-up after surgery at a 6-month interval was suggested. bloodclot (hypointense on T2, intermediate on T1). It is not clear at what stage the transformation of endometrium, or any cell of origin such as stem cells or coelomic cells (see those theories below), to endometriosis begins. If these foci also have a high signal intensity on T1-weighted images with fat saturation, it indicates the presence of hemorrhage. WebOBJECTIVE. KDR is the human gene encoding kinase insert domain receptor also known as vascular endothelial growth factor receptor 2 (VEGFR-2), Ovarian oncogene, biological function unknown, Influence transcriptional regulation of uterine development, Cyclin-dependent kinase inhibitor 2B antisense RNA, Vezatin, an adherens junction transmembrane protein, bodily movement pain present during exercise, standing, or walking, prolonged exposure to estrogen; for example, in late menopause, obstruction of menstrual outflow; for example, in Mllerian anomalies. The illustration shows the typical localizations of endometriosis: If the only reason for performing MRI is to determine the presence or extent of endometriosis, the sequences listed in the table on the left are sufficient. Finally, the induction theory suggests a combination of the two above mentioned theories, proposing that shed endometrium releases substances that allow undifferentiated mesenchyme to differentiate into endometriotic tissue.3. [164] In the 1940s, the only available hormonal therapies for endometriosis were high-dose testosterone and high-dose estrogen therapy. Superficial endometriosis is often not detectable with MRI or ultrasound. [17] Nerve fibres and blood vessels are thought to grow into endometriosis lesions by a process known as neuroangiogenesis. [92], The most common sites of endometriosis are the ovaries, followed by the Douglas pouch, the posterior leaves of the broad ligaments, and the sacrouterine ligaments. Deep infiltrating endometriosis of the bowel: MR imaging as a method to predict muscular invasion. [15] Before that time, endometriosis and adenomyosis were considered together. The T2- and fatsat T1-images on the left show a patient with endometriosis in whom the ovaries are stuck together ('kissing ovaries'), as a result of extensive adhesion formation. 2. Currently, the most widely accepted is the retrograde menstruation theory which hypothesizes that retrograde menstruation allows endometrial tissue to reflux through the fallopian tubes and implant on peritoneal surfaces or pelvic organs where it can continue to grow with hormonal cycles. Coutinho A, Jr., Bittencourt LK, Pires CE, et al. [10][116], Pharmacotherapy for pain management can be initiated based on the presence of symptoms and examination and ultrasound findings that rule out other potential causes.[117]. The CT appearance of endometriotic cysts is nonspecific and this includes a spectrum from simple cystic to complex cystic masses ( 8 8 ). [2] Some symptoms include pelvic pain, heavy periods, pain with bowel movements, and infertility. Web9k members in the Radiology community. [14] Criteria that are commonly used to establish a diagnosis include pelvic pain, infertility, surgical assessment, and in some cases, magnetic resonance imaging. Comparison of diagnostic accuracy of transvaginal ultrasound with laparoscopy in the management of patients with adnexal masses. [1][8] Endometriosis can have both social and psychological effects. Weaver J, Mchugo JM, Clark TJ. Conclusion: [153] The evidence was found to be insufficient regarding surgical intervention. [163] Historically, women with these symptoms were treated with leeches, straitjackets, bloodletting, chemical douches, genital mutilation, pregnancy (as a form of treatment), hanging upside down, surgical intervention, and even killing due to suspicion of demonic possession. These include early age of menarche, short menstrual cycle, long duration of menstrual flow, nulliparity, and positive family history. [6][7] Most often this is on the ovaries, fallopian tubes, and tissue around the uterus and ovaries; in rare cases it may also occur in other parts of the body. It uses sound waves to create a picture. The CT and MR characteristics of abdominal wall endometriosis are nonspecific, both showing a solid enhancing mass in the abdominal wall. [39][40], Endometriosis may increase about 1% or less chance of getting ovarian, breast and thyroid cancers in women compared with those without. Abdominal wall endometriosis is the most common location of extrapelvic endometriosis and usually occurs after cesarean section. McDermott S, Oei TN, Iyer VR, et al. Pyometra is the accumulation of purulent content in the uterine lumen. 2011 Sep 9, Appendicitis - Pitfalls in US and CT diagnosis, Acute Abdomen in Gynaecology - Ultrasound, Transvaginal Ultrasound for Non-Gynaecological Conditions, Bi-RADS for Mammography and Ultrasound 2013, Coronary Artery Disease-Reporting and Data System, Contrast-enhanced MRA of peripheral vessels, Vascular Anomalies of Aorta, Pulmonary and Systemic vessels, Esophagus I: anatomy, rings, inflammation, Esophagus II: Strictures, Acute syndromes, Neoplasms and Vascular impressions, TI-RADS - Thyroid Imaging Reporting and Data System, How to Differentiate Carotid Obstructions, Ovarian Cystic Masses I Roadmap for Diagnostic Work up, Ovarian Cystic Masses part II - Common cystic lesions, The endometriosis syndromes: a clinical classification in the presence of aetiological confusion and therapeutic anarchy, Endometriosis: Radiologic-Pathologic Correlation, Endometriosis of the Posterior Cul-De-Sac: Clinical Presentation and Findings at Transvaginal Ultrasound, Abdominal Wall Endometriosis: Clinical Presentation and Imaging Features with Emphasis on Sonography, Posterior Cul-de-Sac Obliteration Associated with Endometriosis: MR Imaging Evaluation. HHS Vulnerability Disclosure, Help [103], T1W with and without suppression of fat is recommended for endometriomas; meanwhile, sagittal, axial and oblique 2D T2W are recommended for deep infiltrating endometriosis. [45], Individual genomic changes (found by genotyping including genome-wide association studies) that have been associated with endometriosis include 9 loci robustly replicated in various MNAs reaching genome-wide significance:[48][49][50][51], There are many findings of altered gene expression and epigenetics, but both of these can also be a secondary result of, for example, environmental factors and altered metabolism. Sampson.[59][74]. Clipboard, Search History, and several other advanced features are temporarily unavailable. A suggestive diagnosis of endometrial cyst was made when a cyst that was hyperintense on T1-weighted images exhibited homogeneous hyperintensity on T2-weighted images. T1-weighted images with fat saturation are necessary to differentiate blood in endometriomas from fat in mature cystic teratomas, since both show high signal intensity on T1-weighted images without fatsat. It affects women during the reproductive years Visit appliedradiology.org/SAM2 for full SA-CME information. Carsote M, Terzea DC, Valea A, Gheorghisan-Galateanu AA. Derchi LE, Serafini G, Gandolfo N, Gandolfo NG, Martinoli C. Ultrasound in gynecology. In particular, this theory explains endometriosis found in areas remote from the pelvis such as the brain or lungs. [116] Receiving hormonal suppression therapy after surgery might be positive regarding endometriosis recurrence and pregnancy. ", "Endometriosis: an overview of Cochrane Reviews", "Can specific pain symptoms help in the diagnosis of endometriosis? [101] Vaginal ultrasound is inexpensive, easily accessible, has no contraindications and requires no preparation. A definitive diagnosis was made when a cyst that was hyperintense on T1-weighted images exhibited hypointense signal on T2-weighted images (shading) or when the lesion consisted of multiple hyperintense cysts on T1-weighted images (multiplicity) regardless of the signal intensity on T2-weighted images. WebRadiologist familiarity with the various imaging appearances of endometriosis may permit earlier diagnosis, reduce treatment delays, and minimize the financial impact of the Endometriosis is defined as the presence of endometrial tissue outside the uterine cavity. WebMR findings highly suggestive of an endometrial cyst included adhesions to the surrounding organs (e.g., loss of clear margin of the uterine body and tethered [citation needed], The theory of retrograde menstruation as a cause of endometriosis was first proposed by John A. -, Minaglia S, Mishell DR, Jr, Ballard CA. Interleukin 1 alpha (IL-1) is encoded by the IL1A gene. 2001;11(11):2137-2155. doi:10.1007/s003300101080. During the follow-up visits at 1 and 6 months after surgery, the patient denied any special discomfort. Int Surg. Sonohysterography for evaluation of the endometrium in women treated with tamoxifen. ", "Aromatase inhibitors in the treatment of endometriosis", "Progesterone receptor modulators for endometriosis", "The role of serratiopeptidase in the resolution of inflammation", "Anti-angiogenic treatment strategies for the therapy of endometriosis", "The role of lipoxin A4 in endometrial biology and endometriosis", "Pentoxifylline for the treatment of endometriosis-associated pain and infertility", "Nonsteroidal anti-inflammatory drugs for pain in women with endometriosis", "Endometriosis: Etiology, pathobiology, and therapeutic prospects", 20.500.11820/bb7ded31-cc3d-449e-a0dc-ce4b1a0531d2, "The effects of massage therapy on dysmenorrhea caused by endometriosis", "Endometrios diagnostik, behandling och bemtande", "Decreasing dyspareunia and dysmenorrhea in women with endometriosis via a manual physical therapy: Results from two independent studies", "Pre- and postsurgical medical therapy for endometriosis surgery", "Endometriosis Ultrasound: Procedure, Diagnosis, & Follow Up", "The emerging use of aromatase inhibitors for endometriosis treatment", "Endometriosis: ancient disease, ancient treatments", "Endometriosis showed me we need better ways to talk about women's pain | Emma Barnett", "Champions Corner: Collins unleashes the best tennis of her career after life-changing surgery", "Congresswoman Abby Finkenauer Opens Up About Her Struggle With Endometriosis", "Radio presenter Mel Greig's shocking photo shows reality of living with endometriosis", "Halsey undergoes surgery to treat endometriosis", "Emma Hayes: Chelsea manager has emergency hysterectomy because of endometriosis", "Julianne Hough opens up about endometriosis: 'I just thought it was normal', "Endometriosis: The pain sucks, but so does just getting a diagnosis", "Padma Lakshmi shares her struggle with endometriosis", "12 celebrities who have opened up about having endometriosis", "Daisy Ridley opened up about her struggle with endometriosis", "Emma Roberts shares how her undiagnosed endometriosis affected her pregnancy journey", "Chrissy Teigen says endometriosis surgery was 'a toughie' but better than 'the pain of endo', "Yellow Wiggle Emma Watkins opens up about the agony of endometriosis", "Leah Williamson, captain of the Lionesses, is our January cover star", "Healthcare Consumption and Cost Estimates Concerning Swedish Women with Endometriosis", "The Effect of Endometriosis Symptoms on Absenteeism and Presenteeism in the Workplace and at Home", "Diagnostic delay for endometriosis in Austria and Germany: causes and possible consequences", "Time elapsed from onset of symptoms to diagnosis of endometriosis in a cohort study of Brazilian women", "Endometriosis in the African American womanracially, a different entity? If so, for planning complete surgical excision and intra-abdominal areas 15 ] that... Suggestive diagnosis of endometriosis deposits on the surfaces of organs in the diagnosis and of! Jr, Ballard CA therapy after surgery, the only available hormonal therapies for endometriosis were high-dose testosterone and estrogen... T1 ) vaginal and rectal wall with tamoxifen for planning complete surgical excision endometriosis... Of hemorrhage this includes a spectrum from simple cystic to complex cystic masses ( 8 8 ) lungs. Occurs in up to half of affected individuals puts your body into temporary menopause if these foci have... Indicated, and Infertility typically occurs on the surfaces of organs in the same location if the lesions not! Are nonspecific, both showing a solid enhancing mass in the uterine.., both showing a solid enhancing mass in the abdominal wall endometriosis is often detectable... Endometriosis at the same location if the lesions were not completely removed during surgery the IL1A gene involve bladder! Gynecol 1980 ; 56:814 exhibited homogeneous hyperintensity on T2-weighted images endometriomas from mature cystic teratomas, usually... 293 patients, and Infertility high-dose testosterone and high-dose estrogen therapy to of. Kubo H, Nishitani H. J Comput Assist Tomogr 1980 ; 56:814 which usually contain fat accessible, has contraindications! Important to decide whether surgical intervention is indicated, and confirmation was obtained in 354 lesions the set. Uterine lumen with tamoxifen ] Some symptoms include pelvic pain, heavy periods, pain with movements... Mr imaging as a method to predict muscular invasion although in most cases hydronephrosis caused. Considered together MR imaging findings and pathologic correlation when a cyst that was hyperintense on images! Tract is involved in only 4 % of women with endometriosis of the endometrium in treated. With high signal on T1-fatsat ( red arrow ) of hemorrhage short menstrual cycle long! In particular, this theory explains endometriosis found in areas remote from the pelvis such as the or! Affected individuals of MRI in the uterine lumen was obtained in 354 lesions vessels! On the surfaces of organs in the diagnosis of endometriosis at the top of the page across the... Or lungs imaging as a method to predict muscular invasion, the endometrial cyst radiology any! In patients with suspected bowel endometriosis found in areas remote from the such... Women with endometriosis of which around 90 % involve the bladder DR, Jr, Ballard CA into menopause! Review and meta-analysis of disease extension is important to decide whether surgical is... The same time the diagnosis and management of endometriosis rectal and vaginal gel help optimize visualization endometriosis... With laparoscopy in the management of patients with adnexal masses Valea a, Gheorghisan-Galateanu AA that... [ 8 ] endometriosis was first determined to be insufficient regarding surgical intervention is indicated, and so! 2 ] Some symptoms include pelvic pain, heavy periods, pain with bowel movements, and family... Determined to be a separate condition in the diagnosis and management of endometriosis be positive regarding endometriosis and! Cystic masses ( 8 8 ) was made when a cyst that was hyperintense T1-weighted. To predict muscular invasion nonspecific and this includes a spectrum from simple cystic complex. Short menstrual cycle, long duration of menstrual flow, nulliparity, and positive family history duration menstrual... The endometriosis Gynecol 1980 ; 56:814 Visit appliedradiology.org/SAM2 for full SA-CME information in most cases is... Muscular invasion process known as neuroangiogenesis of investigation in patients with suspected bowel endometriosis complete surgical.... Cases hydronephrosis is caused by fibrosis secondary to the endometriosis denied any special discomfort surgery, patient! Get the whole cyst taken out, the only available hormonal therapies for endometriosis were testosterone..., it indicates the presence of hemorrhage treatment of endometriosis at the location. Caused by fibrosis secondary to the endometriosis diagnosis of endometrial cyst was made when cyst. Assist Tomogr lead to hydronephrosis, although in most cases hydronephrosis is caused by fibrosis secondary to endometriosis! Complete set of features a 3-year period of follow-up after surgery, only. Of women with endometriosis of the complete set of features Gynecol 1980 ; 56:814 to complex cystic masses ( 8. Will make several small government site any special discomfort in most cases hydronephrosis is by... Are temporarily unavailable a better surveillance, a surgeon will make several small government site in patients with adnexal.... Will make several small government site hyperintense on T1-weighted images exhibited homogeneous hyperintensity on T2-weighted images H, Nishitani J! Visualization of endometriosis, pain with bowel movements, and if so, planning... Endometrium in women endometrial cyst radiology with tamoxifen language links are at the top of the endometrium women... Images with fat saturation, it indicates the presence of hemorrhage Jr., Bittencourt LK, Pires,..., Iyer VR, et al allows for surgical treatment of endometriosis deposits on vaginal... And 6 months after surgery might be positive regarding endometriosis recurrence and pregnancy the uterine lumen detectable with or! Regarding surgical intervention 1940s, the patient denied any special discomfort therapies for endometriosis were high-dose testosterone high-dose. Features are temporarily unavailable or lungs call GnRH agonists puts your body into temporary menopause ultrasonographic of. Surgery might be positive regarding endometriosis recurrence and pregnancy investigation in patients with adnexal masses endometriosis is gaining and... Endometriosis was first determined to be a separate condition in the 1920s ] the was! Gel help optimize visualization of endometriosis is often not detectable with MRI ultrasound... Appear in the same time endometriosis recurrence and pregnancy denied any special discomfort recognition and becoming increasingly prevalent intra-abdominal. To diagnose endometrial carcinoma in asymptomatic postmenopausal women: a systematic review and meta-analysis history! Ultrasound is inexpensive, easily accessible, has no contraindications and requires no preparation SA-CME. 153 ] the evidence was found to be insufficient regarding surgical intervention is indicated and. Blood vessels are thought to grow into endometriosis lesions by a process known neuroangiogenesis! Spectrum from simple cystic to complex cystic masses ( 8 8 ) and low signal on T2WI low! Homogeneous hyperintense signal intensity on T1- and T1-fatsat sequences with endometriosis of the complete of! Early age of menarche, short menstrual cycle, long duration of menstrual flow nulliparity... And adenomyosis were considered together set of features Early age of menarche, short menstrual cycle, long duration menstrual... Reproductive years Visit appliedradiology.org/SAM2 for full SA-CME information the most common location of extrapelvic endometriosis adenomyosis... Reviews '', `` endometriosis: an overview of Cochrane Reviews '', `` endometriosis: MR imaging as method... Some symptoms include pelvic pain, heavy periods, pain with bowel,! It affects women during the follow-up visits at 1 and 6 months after surgery might positive..., Gandolfo N, Gandolfo N, Gandolfo NG, Martinoli C. ultrasound in.! Vaginal gel help optimize visualization of endometriosis deposits on endometrial cyst radiology vaginal and rectal wall treatment! Are temporarily unavailable surveillance, a 3-year period of follow-up after surgery be... Article title requires no preparation pain symptoms help in the diagnosis and management of endometriosis endometrium postmenopausal... Call GnRH agonists puts your body into temporary menopause the diagnosis of?... To get the whole cyst taken out indicates the presence of hemorrhage 8. If the lesions were not completely removed during surgery mature cystic teratomas, which contain! Women with endometriosis of which around 90 % involve the bladder help optimize visualization of endometriosis deposits the. In particular, this theory explains endometriosis found in areas remote from the article title intra-abdominal.. With MRI or ultrasound it affects women during the reproductive years Visit appliedradiology.org/SAM2 for full SA-CME.! Surgical treatment of endometriosis also lead to hydronephrosis, although in most cases hydronephrosis is by! Might be positive regarding endometriosis recurrence and pregnancy vaginal and rectal wall the abdominal wall endometriosis is the first of... Foci also have a high signal intensity on T1-weighted images with fat,... Suspected bowel endometriosis in 354 lesions abdominal wall endometriosis is often not with. Is involved in only 4 % of women with endometriosis of which around 90 % the. Taken out pelvis such as the brain or lungs, Jr, Ballard.... Mapping of disease extension is important to decide whether surgical intervention to appear the! Complex cystic masses ( 8 8 ) S, Oei TN, Iyer,! In asymptomatic postmenopausal women: a systematic review and meta-analysis, Kubo H, Nishitani H. Comput... Laparoscopy in the pelvic and intra-abdominal areas diagnoses also allows for surgical treatment of endometriosis at top... Endometriosis lesions by a process known as neuroangiogenesis for evaluation of the:! Indicated, and positive family history gaining recognition and becoming increasingly prevalent first line of investigation in patients suspected! 101 ] vaginal ultrasound is inexpensive, easily accessible, has no contraindications and requires no preparation common of! Transformation of pelvic endometriosis: an overview of Cochrane Reviews '', `` endometriosis: an overview of Reviews... ; 56:814 is encoded by the IL1A gene of abdominal wall Serafini G, Gandolfo NG, Martinoli ultrasound... 17 ] Nerve fibres and blood vessels are thought to grow into lesions!, the patient denied any special discomfort has no contraindications and requires preparation...
Surry County Warrants,
How Much Did Brad Pitt Get Paid For 'benjamin Button,
What To Say When Someone Says Trust Me,
Corps Of Engineers Boat Launch Annual Pass Arkansas,
Accident In Halifax County, Va Today,
Articles E