Endometriosis

This chapter deals with new concepts of a previously well-established pathology, namely, endometriosis, which is now realised to be a spectrum affecting more than just the ovaries. Endometriomas (ovarian endometriotic cysts) have been dealt with in the chapter on ovaries (Chap. 7). Here the focus is on endometriosis outside of the ovary, primarily DIE or deep infiltrating endometriosis of the pelvis (i.e. frequently encountered, if searched for) and the rarer extra-pelvic endometriosis. DIE is a distressing and painful condition for most women, but is unfortunately not diagnosed due to lack of knowledge of the spectrum of DIE. In this chapter, the various types of DIE with their characteristics and multiple correlating ultrasound images have been provided, that help in making a diagnosis of deep infiltrating endometriosis. Today it is realised that not only is DIE seen in a significant percentage of women with endometriosis, but also that its presence could make surgery challenging for the surgeon (particularly if the surgeon is unprepared for DIE). The referring clinicians are therefore keen that they be informed of the presence, location and extent of DIE, so that surgery could be optimally planned. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others Suggested Reading Chamié LP et al (2011) Findings of pelvic endometriosis at transvaginal US, MR imaging, and laparoscopy. Radiographics 31(4):E77–E100 Donato D et al (2015) Question mark form of uterus: a simple sonographic sign associated with the presence of adenomyosis. Ultrasound Obstet Gynecol 46:126–127. doi:10.1002/uog.14750 Eisenberg VH et al (2015) OP15.06 Bladder detrusor endometriosis: where does it come from? Ultrasound Obstet Gynecol 46:98. doi:10.1002/uog.15242 Guerriero S et al (2011) Ultrasonography in deep endometriosis: a consensus opinion from the International Deep Endometriosis Analysis (IDEA) group. A preliminary statement. Ultrasound Obstet Gynecol 38:265 Guerriero G et al (2016) Systematic approach to sonographic evaluation of the pelvis in women with suspected endometriosis, including terms, definitions and measurements: a consensus opinion from the International Deep Endometriosis Analysis (IDEA) group. Ultrasound Obstet Gynecol. doi:10.1002/uog.15955 Hudelist G et al (2009) Combination of transvaginal sonography and clinical examination for preoperative diagnosis of pelvic endometriosis. Hum Reprod 24(5):1018–1024 Hudelist G et al (2011) Transvaginal sonography vs. clinical examination in the preoperative diagnosis of deep infiltrating endometriosis. Ultrasound Obstet Gynecol 37(4):480–487 Hudelist G et al (2013) Uterine sliding sign: a simple sonographic predictor for presence of deep infiltrating endometriosis of the rectum. Ultrasound Obstet Gynecol 41:692–695 Pateman K et al (2013) Visualization of ureters on standard gynecological transvaginal scan: a feasibility study. Ultrasound Obstet Gynecol 41:696–701 Piketty M et al (2009) Preoperative work-up for patients with deeply infiltrating endometriosis: transvaginal ultrasonography must definitely be the first-line imaging examination. Hum Reprod 24(3):602–607 Reid S et al (2011) Sonovaginography: redefining the concept of a “normal pelvis” on transvaginal ultrasound pre-laparoscopic intervention for suspected endometriosis. AJUM 14(2):21–24 Reid S et al (2014) Office gel sonovaginography for the prediction of posterior deep infiltrating endometriosis: a multicenter prospective observational study. Ultrasound Obstet Gynecol 44:710–718 Savelli L et al (2009) Diagnostic accuracy and potential limitations of transvaginal sonography for bladder endometriosis. Ultrasound Obstet Gynecol 34:595–600. doi:10.1002/uog.7356 Vimercati A et al (2012) Accuracy of transvaginal sonography and contrast‐enhanced magnetic resonance‐colonography for the presurgical staging of deep infiltrating endometriosis. Ultrasound Obstet Gynecol 40(5):592–603. doi:10.1002/uog.11179 Author information Authors and Affiliations Rights and permissions Copyright information © 2017 Springer Nature Singapore Pte Ltd. About this chapter Cite this chapter Sibal, M. (2017). Endometriosis. In: Ultrasound in Gynecology. Springer, Singapore. https://doi.org/10.1007/978-981-10-2714-7_8 Download citation DOI: https://doi.org/10.1007/978-981-10-2714-7_8 Published: Publisher Name: Springer, Singapore Print ISBN: 978-981-10-2713-0 Online ISBN: 978-981-10-2714-7 eBook Packages: MedicineMedicine (R0)

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