Evaluation of colonic involvement in endometriosis: double-contrast barium enema vs. magnetic resonance imaging

Niccolò Faccioli, N Faccioli, Giovanni Foti, G Foti, R Manfredi, Riccardo Manfredi, P Mainardi, Paride Mainardi, Elide Spoto, E Spoto, G Ruffo, Giacomo Ruffo, L Minelli, Liliana Minelli, Roberto Pozzi Mucelli, R Pozzi Mucelli
Abdominal imaging · 2009 · vol. 35(4) , pp. 414–421 · doi:10.1007/s00261-009-9544-5 · PMID:19568808 · W1967124455
article OA: closed CC0 ⤵ 48 in-corpus citations
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-07 ⓘ

This study compared double-contrast barium enema (DCBE) and magnetic resonance imaging (MRI) for diagnosing bowel endometriosis, finding DCBE to be more accurate than unenhanced MRI.

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

This prospective study compared the diagnostic accuracy of double-contrast barium enema (DCBE) versus magnetic resonance imaging (MRI) for intestinal endometriosis in 83 consecutive women with suspected bowel involvement, with DCBE and MRI performed the same day and findings correlated to histology from resected surgical specimens. Of 65 operated patients, 50 (76.9%) had bowel endometriosis, and DCBE detected 50/59 lesions (84.7%) versus MRI detecting 42/59 (71.1%); DCBE also showed higher overall sensitivity, specificity, positive predictive value, negative predictive value, and accuracy than MRI. The main limitation is that accuracy is assessed against resected specimens, and only 65 of the 83 women underwent surgery (with diagnostic comparison focused on that subset). This paper is centrally about endometriosis — it directly evaluates imaging accuracy (DCBE vs MRI) for colonic involvement in intestinal endometriosis using histology as the reference standard.

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Condition tags

endometriosis

MeSH descriptors

Barium Sulfate Colonic Diseases Contrast Media Endometriosis Magnetic Resonance Imaging Tomography, X-Ray Computed Adult Colonic Diseases Colonic Diseases Colonic Diseases Endometriosis Endometriosis Endometriosis Enema Female Humans Predictive Value of Tests Rectal Diseases Rectal Diseases Rectal Diseases

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