Multislice CT enteroclysis in the diagnosis of bowel endometriosis

Biscaldi E, Ennio Biscaldi, Simone Ferrero, Ezio Fulcheri, Nicola Ragni, Ragni N, Valentino Remorgida, Rollandi GA, Gian Andrea Rollandi
European radiology · 2006 · vol. 17(1) , pp. 211–219 · doi:10.1007/s00330-006-0364-5 · PMID:16937103 · W1979301599
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-13 ⓘ

Multislice CT enteroclysis effectively detected bowel endometriosis and assessed lesion depth, showing high sensitivity and specificity compared to surgical and histological findings.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 · read from full text ⓘ

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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Abstract

This prospective study aims to evaluate the efficacy of multislice computed tomography combined with colon distension by water enteroclysis (MSCTe) in determining the presence and depth of bowel endometriotic lesions. Ninety-eight women with symptoms suggestive of colorectal endometriosis underwent MSCTe; locations, number of nodule/s, size of the nodule/s and depth of bowel wall infiltration were determined. Independently from the findings of MSCTe, all women underwent laparoscopy. MSCTe findings were compared with surgical and histological results. Abnormal findings suggestive of bowel endometriotic nodules were detected by MSCTe in 75 of the 76 patients with bowel endometriosis. MSCTe identified 110 (94.8%) of the 116 bowel endometriotic nodules removed at surgery; 6 nodules missed at MSCTe were located on the rectum. MSCTe correctly determined the degree of infiltration of the bowel wall in all of the 34 serosal bowel nodules identified at MSCTe. In six nodules reaching the submucosa, the depth of infiltration was underestimated by MSCTe. MSCTe had a sensitivity of 98.7%, a specificity of 100%, a positive predictive value of 100% and a negative predictive value of 95.7% in identifying women with bowel endometriosis. MSCTe is effective in determining the presence and depth of bowel endometriotic lesions.
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Abstract

This prospective study aims to evaluate the efficacy of multislice computed tomography combined with colon distension by water enteroclysis (MSCTe) in determining the presence and depth of bowel endometriotic lesions. Ninety-eight women with symptoms suggestive of colorectal endometriosis underwent MSCTe; locations, number of nodule/s, size of the nodule/s and depth of bowel wall infiltration were determined. Independently from the findings of MSCTe, all women underwent laparoscopy. MSCTe findings were compared with surgical and histological results. Abnormal findings suggestive of bowel endometriotic nodules were detected by MSCTe in 75 of the 76 patients with bowel endometriosis. MSCTe identified 110 (94.8%) of the 116 bowel endometriotic nodules removed at surgery; 6 nodules missed at MSCTe were located on the rectum. MSCTe correctly determined the degree of infiltration of the bowel wall in all of the 34 serosal bowel nodules identified at MSCTe. In six nodules reaching the submucosa, the depth of infiltration was underestimated by MSCTe. MSCTe had a sensitivity of 98.7%, a specificity of 100%, a positive predictive value of 100% and a negative predictive value of 95.7% in identifying women with bowel endometriosis. MSCTe is effective in determining the presence and depth of bowel endometriotic lesions. Similar content being viewed by others

References

Redwine DB (2004) Intestinal endometriosis. In: Redwine DB (ed) Surgical management of endometriosis. Martin Dunitz, New York, pp 157–171 Remorgida V, Ragni N, Ferrero S, Anserini P, Torelli P, Fulcheri E (2005) The involvement of the interstitial Cajal cells and the enteric nervous system in bowel endometriosis. Hum Reprod 20:264–271 Ferrero S, Abbamonte LH, Remorgida V, Ragni N (2005) Abdominal pain, bloating, and urgency. Obstet Gynecol 106:195 Kinkel K, Frei KA, Balleyguier C, Chapron C (2006) Diagnosis of endometriosis with imaging: a review. Eur Radiol 16:285–298 Landi S, Barbieri F, Fiaccavento A, Mainardi P, Ruffo G, Selvaggi L, Syed R, Minelli L (2004) Preoperative double-contrast barium enema in patients with suspected intestinal endometriosis. J Am Assoc Gynecol Laparosc 11:223–228 Koga K, Osuga Y, Yano T, Momoeda M, Yoshino O, Hirota Y, Kugu K, Nishii O, Tsutsumi O, Taketani Y (2003) Characteristic images of deeply infiltrating rectosigmoid endometriosis on transvaginal and transrectal ultrasonography. Hum Reprod 18:1328–1333 Bazot M, Detchev R, Cortez A, Amouyal P, Uzan S, Darai E (2003) Transvaginal sonography and rectal endoscopic sonography for the assessment of pelvic endometriosis: a preliminary comparison. Hum Reprod 18:1686–1692 Chapron C, Dumontier I, Dousset B, Fritel X, Tardif D, Roseau G, Chaussade S, Couturier D, Dubuisson JB (1998) Results and role of rectal endoscopic ultrasonography for patients with deep pelvic endometriosis. Hum Reprod 13:2266–2270 Roseau G, Dumontier I, Palazzo L, Chapron C, Dousset B, Chaussade S, Dubuisson JB, Couturier D (2000) Rectosigmoid endometriosis: endoscopic ultrasound features and clinical implications. Endoscopy 32:525–530 Doniec JM, Kahlke V, Peetz F, Schniewind B, Mundhenke C, Lohnert MS, Kremer B (2003) Rectal endometriosis: high sensitivity and specificity of endorectal ultrasound with an impact for the operative management. Dis Colon Rectum 46:1667–1673 Chapron C, Vieira M, Chopin N, Balleyguier C, Barakat H, Dumontier I, Roseau G, Fauconnier A, Foulot H, Dousset B (2004) Accuracy of rectal endoscopic ultrasonography and magnetic resonance imaging in the diagnosis of rectal involvement for patients presenting with deeply infiltrating endometriosis. Ultrasound Obstet Gynecol 24:175–179 Thomassin I, Bazot M, Detchev R, Barranger E, Cortez A, Darai E (2004) Symptoms before and after surgical removal of colorectal endometriosis that are assessed by magnetic resonance imaging and rectal endoscopic sonography. Am J Obstet Gynecol 190:1264–1271 Bazot M, Darai E, Hourani R, Thomassin I, Cortez A, Uzan S, Buy JN (2004) Deep pelvic endometriosis: MR imaging for diagnosis and prediction of extension of disease. Radiology 232:379–389 Bazot M, Darai E (2005) Sonography and MR imaging for the assessment of deep pelvic endometriosis. J Minim Invasive Gynecol 12:178–185 Takeuchi H, Kuwatsuru R, Kitade M, Sakurai A, Kikuchi I, Shimanuki H, Kinoshita K (2005) A novel technique using magnetic resonance imaging jelly for evaluation of rectovaginal endometriosis. Fertil Steril 83:442–447 Puglielli E, Di Cesare E, Masciocchi C (2004) Rectal endometriosis: MRI study with rectal coil. Eur Radiol 14:2362–2363 Darai E, Thomassin I, Barranger E, Detchev R, Cortez A, Houry S, Bazot M (2005) Feasibility and clinical outcome of laparoscopic colorectal resection for endometriosis. Am J Obstet Gynecol 192:394–400 Bennett GL, Slywotzky CM, Giovanniello G (2002) Gynecologic causes of acute pelvic pain: spectrum of CT findings. Radiographics 22:785–801 Inal M, Bicakci K, Soyupak S, Oguz M, Ozer C, Demirbas O, Akgul E (2000) Hepatic endometrioma: a case report and review of the literature. Eur Radiol 10:431–434 Dwivedi AJ, Agrawal SN, Silva YJ (2002) Abdominal wall endometriomas. Dig Dis Sci 47:456–461 Coeman V, Sciot R, Van Breuseghem I (2005) Case report. Rectus abdominis endometriosis: a report of two cases. Br J Radiol 78:68–71 Chung SY, Kim SJ, Kim TH, Ryu WG, Park SJ, Lee DY, Paik HC, Kim HJ, Cho SH, Kim JK, Park KJ, Ryu YH (2005) Computed tomography findings of pathologically confirmed pulmonary parenchymal endometriosis. J Comput Assist Tomogr 29:815–818 Fishman EK, Scatarige JC, Saksouk FA, Rosenshein NB, Siegelman SS (1983) Computed tomography of endometriosis. J Comput Assist Tomogr 7:257–264 Rollandi GA, Biscaldi E (2000) CT enema. In: Terrier F, Grossholz M, Becker CD (eds) Spiral CT of the abdomen. Springer, Berlin Heidelberg New York, pp 369–384 Romano S, De Lutio E, Rollandi GA, Romano L, Grassi R, Maglinte DD (2005) Multidetector computed tomography enteroclysis (MDCT-E) with neutral enteral and IV contrast enhancement in tumor detection. Eur Radiol 15:1178–1183 Hundt W, Braunschweig R, Reiser M (1999) Evaluation of spiral CT in staging of colon and rectum carcinoma. Eur Radiol 9:78–84 Rotert H, Noldge G, Encke J, Richter GM, Dux M (2003) The value of CT for the diagnosis of acute diverticulitis. Radiologe 43:51–58 Werner A, Diehl SJ, Farag-Soliman M, Duber C (2003) Multi-slice spiral CT in routine diagnosis of suspected acute left-sided colonic diverticulitis: a prospective study of 120 patients. Eur Radiol 13:2596–2603 Schmidt S, Felley C, Meuwly JY, Schnyder P, Denys A (2006) CT enteroclysis: technique and clinical applications. Eur Radiol 16:648–660 Thompson WG, Longstreth GF, Drossman DA, Heaton KW, Irvine EJ, Muller-Lissner SA (1999) Functional bowel disorders and functional abdominal pain. Gut 45(Suppl 2):II43–II47 Remorgida V, Ragni N, Ferrero S, Anserini P, Torelli P, Fulcheri E (2005) How complete is full thickness disc resection of bowel endometriotic lesions? A prospective surgical and histological study. Hum Reprod 20:2317–2320 Silverman PM, Roberts S, Tefft MC, Brown B, Fox SH, Cooper C, Zeman RK (1995) Helical CT of the liver: clinical application of an automated computer technique, SmartPrep, for obtaining images with optimal contrast enhancement. AJR Am J Roentgenol 165:73–78 Ruess L, Bulas DI, Kushner DC, Silverman PM, Fearon TC (1998) Peak enhancement of the liver in children using power injection and helical CT. AJR Am J Roentgenol 170:677–681 Knight CD, Griffen FD (1980) An improved technique for low anterior resection of the rectum using the EEA stapler. Surgery 88:710–714 Griffen FD, Knight CD (1984) Stapling technique for primary and secondary rectal anastomoses. Surg Clin North Am 64:579–590 Bland M (2000) An introduction to medical statistics, 3rd edn. Oxford University Press, Oxford, UK Schmidt S, Chevallier P, Chalaron M, Bessoud B, Verdun FR, Frascarolo P, Schnyder P, Denys A (2005) Multidetector CT enteroclysis: comparison of the reading performance for axial and coronal views. Eur Radiol 15:238–246 Ruiz-Cruces R, Ruiz F, Perez-Martinez M, Lopez J, Tort Ausina I, De los Rios AD (2000) Patient dose from barium procedures. Br J Radiol 73:752–761 Author information Authors and Affiliations Corresponding author Rights and permissions About this article Cite this article Biscaldi, E., Ferrero, S., Fulcheri, E. et al. Multislice CT enteroclysis in the diagnosis of bowel endometriosis. Eur Radiol 17, 211–219 (2007). https://doi.org/10.1007/s00330-006-0364-5 Received: Revised: Accepted: Published: Issue date: DOI: https://doi.org/10.1007/s00330-006-0364-5

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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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