Abdominal wall endometrioma (AWE) is a rare condition (incidence 1% following caesarean section) with a significant variation in clinical symptoms, imaging findings and interval between initial procedure and diagnosis. We present two cases …
Ultrasound has become an invaluable tool for the workup and management of patients with symptoms and signs of endometriosis. Until the publication on the systematic approach to ultrasound in patients with suspected endometriosis by the Inte…
BACKGROUND: Women who suffer recurrent miscarriage are a heterogeneous group. Known causes include genetic and endocrine abnormalities, anti-phospholipid syndrome and autoimmune disease. Congenital uterine abnormalities (CUAs) such as bicor…
For some, endometriosis represents a chronic, waxing and waning disease that can be associated with significant morbidity. Endometriosis embodies a substantial number of gynaecological presentations for symptoms ranging from pelvic pain to …
Transvaginal sonography (TVS) is now established as a first line imaging tool of choice for the preoperative assessment of endometriosis in women planning laparoscopy for surgical treatment of endometriosis.1,2 The evolution of TVS in the p…
Urinary tract endometriosis has been reported to affect 1% of women with pelvic endometriosis,1 and approximately 10%of these women will have ureteric endometriosis.2 In a recent study, which included 627 women with histologically confirmed…
The aim of this study was to ascertain the incidence of "increased endometrial vascularity" recorded in the ultrasound scan reports, in the context of RPOC and correlate this finding with the incidence of life threatening intra-operative bl…
Posterior pelvic compartment deep infiltrating endometriosis (DIE) is known to be significantly associated with specific pelvic pain symptoms, and the excision of DIE has been shown to improve quality of life for these women.1 However, the …
Obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) syndrome is a rare urogenital anomaly. Patients typically present at puberty, shortly after menarche with increasing pelvic pain, dysmenorrhea and pelvic mass. There may be a know…
Introduction: Uterine rupture and uterine dehiscence during pregnancy are known complications of a scarred uterus. Spontaneous uterine rupture at the site of prior cornual wedge resection has been previously reported in the literature, howe…
Transvaginal ultrasonography (TVS) is recommended as the first line imaging tool for the pre-operative diagnosis of posterior compartment deep infiltrating endometriosis (DIE), with a sensitivity and specificity for the prediction of bowel …
Pre-operative diagnosis of pouch of Douglas (POD) obliteration is important for several reasons. We know that pre-operative identification of POD obliteration allows for the identification of women who may be at a higher risk of having unde…
Ultrasound techniques currently employed in the definition of posterior compartment deep infiltrating endometriosis (DIE) are now well described. These include the sonovaginography, first described by Dessole in 2003, for mapping the locati…
Abstract Introduction : Endometriosis is a chronic peritoneal disease that may progress as a deep infiltrating lesion involving the posterior compartment of the pelvis. Efforts to improve pre‐operative knowledge of the location and extent o…
Historically, if a woman with chronic pelvic pain does not have an endometrioma or obvious adenomyosis on transvaginal ultrasound assessment, then she is deemed to have a “normal pelvis”. A significant proportion of these women will subsequ…
Objectives: To evaluate the accuracy of transvaginal sonography (TVS) in the diagnosis of deep infiltrating endometriosis (DIE) of the posterior compartment (rectovaginal septum, uterosacral ligaments, rectosigmoid colon, vagina) when under…
Spontaneous hemopertitoneum in pregnancy (SHiP) is a rare but potential catastrophic complication with high maternal and fetal mortality. The main cause of morbidity and mortality is delayed diagnosis and treatment. In this paper we will do…
Chronic Pelvic Pain (CPP) is defined as intermittent or constant pain in the lower abdomen or pelvis of at least six months duration, not occurring exclusively with menstruation or intercourse and not associated with pregnancy1. Chronic Pel…
Office sonovaginography (SVG) challenges the concept of the "normal" pelvic ultrasound in women with chronic pelvic pain and suspected endometriosis. When positive for posterior compartment deep infiltrating endometriosis, with or without P…