Enhanced Ultrasonographic Techniques

Simone Ferrero, Fabio Barra, Carolina Scala, Martino Rolla, Mauricio León
In: Clinical Management of Bowel Endometriosis · 2020 · pp. 53–64 · doi:10.1007/978-3-030-50446-5_6 · W3083251505
book-chapter OA: closed CC0 ⤵ 1 in-corpus citation
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-07 ⓘ

Enhanced ultrasonographic techniques like RWC-TVS and SVG can accurately diagnose rectosigmoid endometriosis, with RWC-TVS estimating infiltration depth and nodule size.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 ⓘ

This chapter reviews enhanced ultrasonographic techniques for improving the detection of deep endometriotic nodules, focusing on methods that use distention of the vagina and/or rectosigmoid with saline and/or intraluminal ultrasound during transvaginal ultrasonography, such as rectal water-contrast transvaginal ultrasonography (RWC-TVS), sonovaginography, and tenderness-guided transvaginal ultrasonography. The authors report that RWC-TVS and sonovaginography show good diagnostic performance for rectosigmoid endometriosis comparable to other imaging modalities, and that RWC-TVS can estimate intestinal wall infiltration depth (notably submucosal involvement) and nodule diameter. A key limitation stated is that, to date, no study has directly compared the performance of different enhanced techniques. This paper is centrally about endometriosis — it focuses on enhanced ultrasonographic techniques for diagnosing deep rectosigmoid endometriosis and assessing bowel infiltration.

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