Multidetector computerized tomography enteroclysis vs. rectal water contrast transvaginal ultrasonography in determining the presence and extent of bowel endometriosis

Simone Ferrero, S Ferrero, E Biscaldi, Biscaldi E, Ennio Biscaldi, M Morotti, Matteo Morotti, Venturini PL, P. L. Venturini, V. Remorgida, Valentino Remorgida, G. A. Rollandi, Gian Andrea Rollandi, Rollandi GA, M Valenzano Menada, Mario Valenzano Menada, Valenzano Menada M
Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2011 · vol. 37(5) , pp. 603–613 · doi:10.1002/uog.8971 · PMID:21351180 · W2010682824
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Multidetector computerized tomography enteroclysis and rectal water contrast transvaginal ultrasonography showed similar accuracy for diagnosing rectosigmoid endometriosis, but patients tolerated transvaginal ultrasonography better.

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Abstract

OBJECTIVES: To compare the accuracy of multidetector computerized tomography enteroclysis (MDCT-e) and rectal water contrast transvaginal ultrasonography (RWC-TVS) in determining the presence and extent of bowel endometriosis. METHODS: This prospective study included 96 patients of reproductive age with suspicion of bowel endometriosis. Patients underwent MDCT-e and RWC-TVS before operative laparoscopy. Findings of MDCT-e and RWC-TVS were compared with histological results. The severity of pain experienced during MDCT-e and RWC-TVS was measured by a 10-cm visual analog scale. RESULTS: Fifty-one patients had bowel endometriotic nodules at surgery. Sensitivity, specificity, positive predictive value, negative predictive value and accuracy for the diagnosis of rectosigmoid endometriosis were 95.8% (46/48), 100.0% (48/48), 100.0% (46/46), 96.0% (48/50) and 97.9% (94/96) for MDCT-e and 93.8% (45/48), 97.9% (47/48), 97.8% (45/46), 94.0% (47/50) and 95.8% (92/96) for RWC-TVS. MDCT-e was associated with more intense pain than was RWC-TVS. CONCLUSIONS: MDCT-e and RWC-TVS have similar accuracy in the diagnosis of rectosigmoid endometriosis, but patients tolerate RWC-TVS better than they do MDCT-e.

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Condition tags

endometriosisbowel_endometriosis

MeSH descriptors

Endometriosis Inflammatory Bowel Diseases Administration, Rectal Adult Endometriosis Female Humans Inflammatory Bowel Diseases Laparoscopy Laparoscopy Prospective Studies Sensitivity and Specificity Tomography, X-Ray Computed Ultrasonography Water

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Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

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