Transvaginal ultrasonography combined with water-contrast in the rectum in the diagnosis of rectovaginal endometriosis infiltrating the bowel
Diagnostic accuracy
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This study investigated the diagnostic accuracy of transvaginal ultrasonography with rectal water infusion for detecting rectovaginal endometriosis invading the bowel.
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Abstract
This prospective study evaluated the efficacy of transvaginal ultrasonography combined with water-contrast in the rectum (RWC-TVS) in the diagnosis of rectal infiltration in 35 women with rectovaginal endometriosis; ultrasonographic findings were compared with surgery and histology. The sensitivity of RWC-TVS in identifying rectal infiltration reaching at least the muscular layer was 100%, the specificity was 85.7%, the positive predictive value was 91.3%, and the negative predictive value was 100%. In 4 of 5 (80.0%) nodules reaching the submucosa, the depth of infiltration was underestimated by RWC-TVS. The RWC-TVS reliably determined the largest diameter of the endometriotic nodules and was well tolerated by the patients.
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References (4)
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- Bowel endometriosis: presentation, diagnosis, and treatment via openalex
- Multislice CT enteroclysis in the diagnosis of bowel endometriosis via openalex
- Transvaginal sonography and rectal endoscopic sonography for the assessment of pelvic endometriosis: a preliminary comparison via openalex
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- Magnetic Resonance Rectal Enema Versus Computed Tomographic Colonography in the Diagnosis of Rectosigmoid Endometriosis 2020
- Ultrasonography for bowel endometriosis 2020
- Fertility in patients with untreated rectosigmoid endometriosis 2020
- Other imaging techniques: Double-contrast barium enema, endoscopic ultrasonography, multidetector CT enema, and computed tomography colonoscopy 2020
- Diagnostic Performances of Tridimensional Rectosonography and Magnetic Resonance Imaging in Rectosigmoid Endometriosis: A Prospective Cohort Study on 101 Patients 2019
- Impact of Endometriomas and Deep Infiltrating Endometriosis on Pregnancy Outcomes and on First and Second Trimester Markers of Impaired Placentation 2019
- Pathophysiology of pain in patients with peritoneal endometriosis 2019
- Does Bowel Preparation Improve the Performance of Rectal Water Contrast Transvaginal Ultrasonography in Diagnosing Rectosigmoid Endometriosis? 2018
- Is training sufficient for ultrasound operators to diagnose deep infiltrating endometriosis and bowel involvement by transvaginal ultrasound? 2018
- Transvaginal sonography with vs without bowel preparation in diagnosis of rectosigmoid endometriosis: prospective study 2018
- Spontaneous fertility after expectant or surgical management of rectovaginal endometriosis in women with or without ovarian endometrioma: a retrospective analysis 2017
- Endometriosis and Imaging 2017
- Rectal water contrast transvaginal ultrasound versus double-contrast barium enema in the diagnosis of bowel endometriosis 2017
- Impact of large ovarian endometriomas on the response to superovulation for in vitro fertilization: A retrospective study 2017
- Magnetic resonance enema vs rectal water-contrast transvaginal sonography in diagnosis of rectosigmoid endometriosis 2016
- Correlation of the three-dimensional ultrasound findings with pathology in patients with deep pelvic infiltrating endometriosis submitted to surgery 2016
- Imaging modalities for the non-invasive diagnosis of endometriosis 2016
- [Pictures balance for optimal surgical management of pelvic endometriosis. Imaging and surgery of endometriosis] 2016
- Accuracy of transvaginal ultrasound for diagnosis of deep endometriosis in uterosacral ligaments, rectovaginal septum, vagina and bladder: systematic review and meta-analysis 2015
- Accuracy of transvaginal ultrasound for diagnosis of deep endometriosis in the rectosigmoid: systematic review and meta-analysis 2015
- Bowel Endometriosis: An Overview 2014
- Value of diagnostic procedures in rectovaginal endometriosis 2013
- Clinical prediction of deeply infiltrating endometriosis before surgery: is it feasible? A review of the literature 2013
- Can rectal endoscopic sonography be used to predict infiltration depth in patients with deep infiltrating endometriosis of the rectum? 2013
- The importance and perspective of magnetic resonance imaging in the evaluation of endometriosis 2013
- Comparison between transvaginal sonography, saline contrast sonovaginography and magnetic resonance imaging in the diagnosis of posterior deep infiltrating endometriosis 2012
- Apports des techniques d’imagerie en cas de suspicion d’endométriose digestive 2012
- Diagnosis and treatment of rectovaginal endometriosis: an overview 2012
- Vaginal danazol for women with rectovaginal endometriosis and pain symptoms persisting after insertion of a levonorgestrel-releasing intrauterine device 2011
- Diagnosis of Endometriosis: Imaging 2011
- Bowel endometriosis: Recent insights and unsolved problems 2011
- Multidetector computerized tomography enteroclysis vs. rectal water contrast transvaginal ultrasonography in determining the presence and extent of bowel endometriosis 2011
- Letrozole and norethisterone acetate versus letrozole and triptorelin in the treatment of endometriosis related pain symptoms: a randomized controlled trial 2011
- Diagnosis of bowel endometriosis: A review 2010
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- Ultrasonography of pelvic endometriosis 2010
- Diagnostic accuracy of transvaginal ultrasound for non-invasive diagnosis of bowel endometriosis: systematic review and meta-analysis 2010
- Prevalence of newly diagnosed endometriosis in women attending the general practitioner 2010
- Aromatase inhibitors in the treatment of deep endometriosis 2009
- Transvaginal ultrasonography with bowel preparation is able to predict the number of lesions and rectosigmoid layers affected in cases of deep endometriosis, defining surgical strategy 2009
- Unusual imaging appearances of endometriosis 2009
- Can transvaginal sonography predict infiltration depth in patients with deep infiltrating endometriosis of the rectum? 2009
- Does transvaginal ultrasonography combined with water-contrast in the rectum aid in the diagnosis of rectovaginal endometriosis infiltrating the bowel? 2008
- Endometriosis lesions that compromise the rectum deeper than the inner muscularis layer have more than 40% of the circumference of the rectum affected by the disease 2008
- Ein kombinierter Operationsansatz zur Therapie der rektovaginalen Endometriose auf der Basis histologischer Befunde 2008
- 10.1016/s1879-8543(19)60537-9 2000
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