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AI-generated deep summary
by qwen3.7-flash, 2026-09-24
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The provided text does not contain the abstract or body of a research paper titled "Apport du coloscanner dans l'atteinte digestive par endométriose." Instead, it displays an automated challenge page from a website security system called Anubis, which requires users to complete a Proof-of-Work task to verify they are not bots. The text explains that this measure is intended to protect server resources from aggressive AI scraping by increasing the computational cost for mass scrapers while remaining negligible for legitimate human users. It also notes that modern JavaScript features are required to bypass this challenge and warns against using privacy plugins that might disable these features. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.
Abstract
Objectif : l’objectif de cette etude retrospective monocentrique etait d’evaluer l’apport diagnostique du coloscanner, en complement des resultats de l’IRM, chez des patientes ayant une suspicion clinique et/ou IRM d’atteinte digestive par endometriose.
Methodes : entre mai 2017 et decembre 2018, 92 patientes ont passe un coloscanner pour suspicion d’endometriose digestive, apres une IRM realisee dans le meme centre ou dans un centre externe puis secondairement importee. Toutes les imageries des patientes incluses etaient relues en double aveugle par un radiologue senior et un radiologue junior, afin de determiner la presence d’une atteinte digestive et notamment son caractere transmural ou non, et le cas echeant, sa localisation, ses dimensions et son eventuelle caractere stenosant ou multifocal. La sensibilite et specificite de l’IRM et du coloscanner ont ete calculees pour un sous-groupe de patientes operees.
Resultats : la concordance inter-observateur etait elevee en IRM et presque parfaite en coloscanner. Cinquante-sept atteintes digestives « vraies », soit transmurales, ont ete mises en evidence en IRM et la quasi-totalite d’entre elles (N=54, 94,7%) ont ete confirmees en coloscanner.
Concernant les atteintes incertaines, c'est-a-dire qualifiees d’« indeterminees » (N=30) ou de « sereuses » (N=61) en IRM et correspondant a la moitie des observations, 2/3 d’entre elles ont ete negativees par le coloscanner (soit 72,1% des atteintes sereuses).
Sept patientes (16,3%) avaient une atteinte multifocale dont 2 ont ete diagnostiquees uniquement par le coloscanner.
Enfin, 34 lesions stenosantes ont ete diagnostiquees en coloscanner. La concordance inter-observateur pour ces deux derniers parametres etait presque parfaite.
Conclusion : le coloscanner semble apporter une valeur ajoutee diagnostique sur le caractere transmural ou non de l’atteinte digestive endometriosique, notamment en ce qui concerne les cas douteux en IRM. Il semble egalement plus sensible pour le diagnostic de lesions multiples, notamment sigmoidiennes haut-situees ; et pour la determination du caractere stenosant de la lesion. Neanmoins, ces resultats doivent etre correles, in fine, au diagnostic anatomopathologique.
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