Endorectal ultrasound accuracy in the diagnosis of rectal endometriosis infiltration depth

Horace Roman, Roman H, Kouteich K, Khaled Kouteich, Alexis Gromez, Gromez A, Hochain P, Patrick Hochain, B. Resch, Resch B, Benoît Resch, Loïc Marpeau, Loı̈c Marpeau, Marpeau L
Fertility and sterility · 2007 · vol. 90(4) , pp. 1008–1013 · doi:10.1016/j.fertnstert.2007.07.1361 · PMID:18023444 · W1975029229
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This study evaluated the accuracy of endorectal ultrasound in determining the depth of rectal endometriosis infiltration.

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Abstract

OBJECTIVE: To evaluate the accuracy of endorectal ultrasound examination to ascertain the deepest rectal layer involved in rectal endometriosis. DESIGN: Retrospective study. SETTING: Department of obstetrics and gynecology at a university hospital in France. PATIENT(S): Women presenting with rectal endometriosis who had undergone rectal resection during a 22-month period. INTERVENTION(S): Endorectal ultrasonography. MAIN OUTCOME MEASURE(S): The predicted rectal infiltration depth by using endorectal examination was compared with histological findings. The level of agreement was evaluated by using the coefficients of concordance kappa and weighted kappa. RESULT(S): Sixteen women were included in the study. Rectal resection was segmental in 14 cases and was limited in 2 cases. The agreement between 2 examinations was considered good in 9 cases (56%). Endorectal ultrasound overestimated the depth of infiltration in 5 cases and underestimated it in 2 cases. The coefficients of concordance kappa (95% confidence interval) and weighted kappa (95% confidence interval) were, respectively, 0.17 (0-0.34) and 0.22 (0.04-0.4), corresponding to poor concordance between the endorectal ultrasonography and histological examination. CONCLUSION(S): Accuracy in the prediction of rectal-layer involvement in endorectal ultrasonography appears to be limited. This information should not be considered sufficient when selecting the type of rectal-resection procedure.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Rectal Diseases Rectum Ultrasonography Adult Adult Endometriosis Endometriosis Female Female Humans Humans Rectal Diseases Rectal Diseases Rectum Rectum Reproducibility of Results Reproducibility of Results Retrospective Studies Retrospective Studies

Citation neighborhood (2-hop)

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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