Multislice CT enteroclysis in the diagnosis of bowel endometriosis

Ennio Biscaldi, Simone Ferrero, Ezio Fulcheri, Nicola Ragni, Valentino Remorgida, Gian Andrea Rollandi
European radiology · 2006 · vol. 17(1) , pp. 211–219 · doi:10.1007/s00330-006-0364-5 · PMID:16937103 · W1979301599
article OA: closed CC0 ⤵ 106 in-corpus citations
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-08 ⓘ

Multislice CT enteroclysis effectively diagnosed bowel endometriosis, accurately identifying lesion presence and depth in most cases compared to surgical findings.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 ⓘ

This prospective study evaluated multislice CT combined with colon distension using water enteroclysis (MSCTe) to determine the presence, number/size, and depth of bowel wall infiltration of bowel endometriotic lesions in 98 women with symptoms suggestive of colorectal endometriosis. Locations, lesion characteristics, and infiltration depth on MSCTe were compared against surgical and histological results, with laparoscopy performed for all participants independent of imaging. MSCTe detected abnormalities in 75 of 76 women with bowel endometriosis and identified 110 of 116 surgically removed nodules, with six missed nodules localized to the rectum; it also correctly determined infiltration degree for serosal nodules, though submucosal-reaching nodules had underestimated depth. The paper does not explicitly discuss broader limitations, but its accuracy is constrained by the subset of lesions accessible to MSCTe and the missed rectal nodules. This paper is centrally about endometriosis — it assesses MSCT enteroclysis accuracy for diagnosing and characterizing bowel endometriotic lesions.

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Condition tags

endometriosisbowel_endometriosis

MeSH descriptors

Endometriosis Enema Intestinal Diseases Tomography, X-Ray Computed Adult Endometriosis Female Humans Intestinal Diseases Middle Aged Prospective Studies Tomography, X-Ray Computed Water

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