Endoscopic Ultrasound (EUS) diagnosis of sigmoidal endometriosis

DOI: 10.1055/s-0045-1806189 Endoscopic Ultrasound (EUS) diagnosis of sigmoidal endometriosis Authors Abstract Text Mrs S.F, aged 39, has been treated for diffuse endometriosis for 2 years.Following the onset of pelvic pain and cyclic rectal discharge, the patient underwent pelvic MRI, which showed invasion of the recto-sigmoid junction. Recto sigmoidoscopy was performed, with no particular findings.Complementary radial recto sigmoid endoscopic ultra sound revealed invasion of the anterior sigmoid wall, extending from 15 to 23cm from the anal margin, from a focus of pelvic endometriosis, involving the sigmoid muscularis, and respecting the mucosa, internalsphincter, external sphinter and muscularis of the other segments of the rectum.The patient was referred back to gynecology for further management.- Ultrasound rectal endoscopy is useful for diagnosing colorectal endometriosis, with a VPN of 97.7%, and is now part of thepreoperative work-up. Publication History Article published online: 27 March 2025 © 2025. European Society of Gastrointestinal Endoscopy. All rights reserved. Georg Thieme Verlag KG Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany