Diagnosticul imagistic al endometriozei profund infiltrative

This paper reviews imaging approaches for deep infiltrating endometriosis (DIE), defining DIE as endometriotic implants infiltrating deeper than 5 mm from the peritoneal surface, and focusing on intestinal endometriosis when rectal or sigmoid muscularis propria is involved. It synthesizes diagnostic performance data for transvaginal ultrasonography and extended techniques (saline or gel sonovaginography, 3D rectosonography, endorectal ultrasound, and MRI), emphasizing that accuracy is strongly affected by examiner experience and that several modalities have practical limitations such as cost, accessibility, and patient discomfort; it also notes that normal ultrasound findings cannot rule out endometriosis. The major finding is that multi-modality, preoperative mapping—especially with experienced operators and complementary MRI/ERUS for posterior compartment DIE—improves detection and characterization, with specific reported sensitivity/specificity figures for adjunct tests. This paper is centrally about endometriosis — it provides an imaging-diagnostic overview of deep infiltrating and intestinal endometriosis, including detailed discussion of ultrasound and MRI techniques.

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