{"paper_id":"76c9d613-8486-4371-b603-e4a5c05080cf","body_text":"ECR 2017 / B-1099\nUro colon CT in the diagnosis of pelvic deep infiltrating endometriosis\nThis poster is published under an open license. Please read the disclaimer for further details.\nCongress:\nECR 2017\nPoster Number:\nB-1099\nType:\nScientific Paper\nKeywords:\nUrinary Tract / Bladder, Colon, Genital / Reproductive system female, CT, Colonography CT, Dosimetric comparison\nAuthors:\nS. Zanardi, F. Coppola, D. Papadopoulos, D. Valerio, A. O. Di Vincenzo, L. Zannoni, R. Seracchioli, R. Golfieri; Bologna/IT\nDOI:\n10.1594/ecr2017/B-1099\nPurpose\nTo evaluate the diagnostic accuracy (DA) of CT-colonography with intravenous contrast medium and urographic phase (U-CTC) in the preoperative evaluation of pelvic deep infiltrating endometriosis (DIE) with intestinal and/or urinary tract localizations.\nMethods and materials\nWe retrospectively analyzed the 186 consecutive patients that underwent an U-CTC examination for strong clinical suspicion of intestinal and/or urinary tract DIE.\nU-CTC is a low-dose CT colonography with a dedicated protocol with fasting for six hours before the examinations,\nthen 10 minutes before the U-CTC an intramuscular injection of 20 mg of hyoscine-N-butylbromide was administered (in absence of contraindications) to reduce bowel peristalsis.\nThe distention of the colon was obtained by introducing 1.5-2 L of air or CO2 in the rectum through a 24...\nResults\nFifty-five patients (75.3%) had lesions involving the GI tract at U-CTC (18 of them required the involvement of the general surgeon,\n32.7%) while 46 patients (63.0%) had lesions involving the urinary tract and 31 of them (67.4%) required the involvement of an urologist.\nThirty-six of these patients showed lesions in both compartments (49.3%).\nThe diagnostic performance of U-CTC for the diagnosis of DIE according to the different anatomical localizations is shown in Table 1.\nAs far as the intestinal lesions were concerned,\nU-CTC demonstrated sensitivity...\nConclusion\nIn our experience U-CTC is not routinely adopted for the diagnosis of endometriosis,\nusually achieved with TVS or MRI,\nbut it is performed only before surgery,\nin selected patients with strong clinical suspicion of DIE nodules that result to be more difficult to detect with TVS and standard MRI,\nlike localizations involving the sigmoid colon,\nthe recto-sigmoid junction,\nthe ureters and the bladder dome.\nThe limitations of this technique is the radiation exposure in young females,\neven if a dose reduction protocol was utilized,\nbut...\nReferences\n1.Chapron C,Fauconnier A,\nDubuisson JB,\nBarakat H,\nVieira M,\nBreart G.\nDeep infiltrating endometriosis: relation between severity of dysmenorrhoea and extent of disease.\nHuman Reproduction 2003; 18(4):760-766.\n2.\nRoman H,\nNess I,\nSuciu N,\nBridoux V,\nGourcerol G,\nLeroi AM et Al.\nAre digestive symptoms in women presenting with pelvic endometriosis specific to lesion localizations? A preliminary prospective study.\nHum Reprod 2012; 27(12):3440-3449.\n3.\nMoawad NS,\nCaplin A.\nDiagnosis,\nmanagement,\nand long-term outcomes of rectovaginal endometriosis.\nInt J Womens Health 2013; 5:753-63\n4.\nFerrero S,...","source_license":"CC0","license_restricted":false}