Intestinal Endometriosis

In: Medical Radiology · 2013 · pp. 203–208 · doi:10.1007/174_2013_831 · W4238782677
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Intestinal endometriosis, occurring in fertile and infertile women, can manifest as abdominal pain and bowel wall thickening, masses, or cystic lesions on sonography.

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This chapter defines intestinal endometriosis as the presence of ectopic endometrial tissue within the bowel, noting that it primarily affects women of reproductive age and often remains asymptomatic unless implants are deep. The authors describe how transvaginal sonography identifies these lesions through hypoechoic thickening or nodules that deform bowel profiles, while acknowledging rare complications like volvulus. Although most cases on the serosa cause no symptoms, deeper infiltrating disease is associated with abdominal pain, dysmenorrhea, and localized tenderness. This paper is centrally about endometriosis — specifically the diagnosis and clinical presentation of deep infiltrating lesions affecting the intestine.

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Abstract

Endometriosis is defined as the presence of endometrial tissue outside the uterus. Endometriosis occurs almost exclusively in women between 20 and 45 years old, in particular up to 15 % of fertile women and up to 30 % of infertile women. Most women with endometrial implants on bowel serosa are asymptomatic; those with deep infiltrating implants may complain of abdominal pain, dysmenorrhea, dyspareunia, low backache, and localized tenderness. At sonography, intestinal endometriosis can appear as hypoechoic thickening or nodules/masses with irregular contours or, less frequently, as cystic lesions with anechoic fluid content and hyperechoic blood deposits, which often deforms the profiles of the bowel, and rarely causes complications such as invagination and volvulus. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

References

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Keywords

- Compute Tomography Colonography - Endometrial Tissue - Pelvic Endometriosis - Deep Infiltrate Endometriosis - Ectopic Tissue These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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endometriosis

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