FINDING A SIMPLIFIED CLINICAL SCORE FOR DIAGNOSIS AND TREATMENT OF ENDOMETRIOSIS WITHOUT CHOCOLATE CYST

Bishista Bagchi, Chatterjee Siddhartha, Arpan Chatterjee
In: International Journal of Medical and Biomedical Studies · 2020 · vol. 4(4) · doi:10.32553/ijmbs.v4i4.1096 · W3031404955
article OA: diamond CC0 ⤵ 1 in-corpus citation
🔓 Open OA copy Full text JSON View on OpenAlex View at publisher
⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-09 ⓘ

This study correlated ultrasound and clinical findings with laparoscopy to develop a scoring system for diagnosing endometriosis in women without chocolate cysts.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

⚙ AI-generated deep summary by qwen3.7-flash, 2026-08-18 · read from full text ⓘ

This retrospective observational study evaluated the diagnostic utility of trans-vaginal and trans-abdominal ultrasound in conjunction with clinical scoring for endometriosis screening. The researchers analyzed data from 2080 symptomatic women, excluding those with chocolate cysts or adenomyosis, and correlated their clinical and ultrasonographic findings with laparoscopic results from a subset of 489 patients. The analysis demonstrated a strong statistical correlation between combined clinical scores and both ultrasound and laparoscopy scores, indicating that non-invasive assessments can effectively predict disease severity. This paper is centrally about endometriosis — specifically the development of a simplified clinical and ultrasonographic scoring system to aid in diagnosis without relying on surgical confirmation alone.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Abstract

Introduction: This study has been proposed to evaluate the feasibility of trans-vaginal and trans-abdominal ultrasound in screening of endometriosis. Methods: This was a retrospective observational study in which women with clinical symptoms, features and family history of endometriosis were included. Women with diagnosed endometriosis on treatment, with chocolate cystor adenomyosis were excluded. The ultrasound features in patients with suspected endometriosis were correlated with the laparoscopy findings and a new scoring system has been introduced to facilitate the management of the disease. Results: 2080 patients were examined clinically either by per-vaginal or by per-rectal examination (in adolescents, unmarried patients) and the findings were noted and ultrasound was performed. 489 of these women had undergone laparoscopy. Combined clinical score of 1-3 is associated with USG score 1. The visualisation shows that combined clinical score of 7-9 is associated with laparoscopy score 4 and combined clinical score of 1-3 is associated with laparoscopy score 2.Combined clinical score 10-12 is highly differentiated statistically. Conclusion: Clinical symptoms, signs along with USG findings have been seen to be quite helpful to screen endometriotic cases and thereby they should be followed up closely to detect its presence. In extremely doubtful cases laparoscopy should be performed for detection of the foresaid disease. It is very important to note that the clinical score and USG score corresponds to a large extent to laparoscopy score as mentioned in the results. Keywords: endometriosis, trans-vaginal, trans-abdominal, ultrasonography, clinical, score, laparoscopy List of abbreviations USG – Ultrasonography MRI –Magnetic Resonance Imaging POD- Pouch of Douglas VAS- Visual Analogue Scale TVS- Trans-vaginal ultrasonography TRUS- Trans-rectal ultrasonography USL- utero-sacral ligament
Full text 2,175 characters · extracted from oa-doi-fallback · 3 sections · click to expand

Introduction

This study has been proposed to evaluate the feasibility of trans-vaginal and trans-abdominal ultrasound in screening of endometriosis.

Methods

This was a retrospective observational study in which women with clinical symptoms, features and family history of endometriosis were included. Women with diagnosed endometriosis on treatment, with chocolate cystor adenomyosis were excluded. The ultrasound features in patients with suspected endometriosis were correlated with the laparoscopy findings and a new scoring system has been introduced to facilitate the management of the disease. Results: 2080 patients were examined clinically either by per-vaginal or by per-rectal examination (in adolescents, unmarried patients) and the findings were noted and ultrasound was performed. 489 of these women had undergone laparoscopy. Combined clinical score of 1-3 is associated with USG score 1. The visualisation shows that combined clinical score of 7-9 is associated with laparoscopy score 4 and combined clinical score of 1-3 is associated with laparoscopy score 2.Combined clinical score 10-12 is highly differentiated statistically. Conclusion: Clinical symptoms, signs along with USG findings have been seen to be quite helpful to screen endometriotic cases and thereby they should be followed up closely to detect its presence. In extremely doubtful cases laparoscopy should be performed for detection of the foresaid disease. It is very important to note that the clinical score and USG score corresponds to a large extent to laparoscopy score as mentioned in the results.

Keywords

endometriosis, trans-vaginal, trans-abdominal, ultrasonography, clinical, score, laparoscopy List of abbreviations USG – Ultrasonography MRI –Magnetic Resonance Imaging POD- Pouch of Douglas VAS- Visual Analogue Scale TVS- Trans-vaginal ultrasonography TRUS- Trans-rectal ultrasonography USL- utero-sacral ligament

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

⚙ Ask this paper AI returns verbatim quotes from the full text · source: oa-doi-fallback ⓘ

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Outcome instruments

VAS-pain

Condition tags

endometriosisadenomyosis

Citation neighborhood

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. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (10)

Cited by (1)

Source provenance

openalex
last seen: 2026-06-10T17:14:06.276822+00:00
License: CC0 · commercial use OK