Sonography for pelvic endometriosis

C. Exacoustós
In: Gynäkologische Endokrinologie · 2023 · vol. 21(3) , pp. 165–175 · doi:10.1007/s10304-023-00523-4 · W4385812760
article OA: closed CC0 ⤵ 2 in-corpus citations
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-08 ⓘ

Transvaginal ultrasonography is proposed as a first-line imaging technique for endometriosis, enabling pelvic exploration and assessment of disease extent, including endometriomas, adhesions, and bladder/rectal involvement.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-08 ⓘ

This paper reviews how transvaginal ultrasonography (TVS), including morphology-based assessment and color Doppler, can detect endometriosis—particularly when ovarian endometriomas are absent—and evaluate pelvic disease extent. It outlines key sonographic patterns (e.g., typical unilocular “ground-glass” endometriomas), dynamic real-time evaluation of adhesions and pouch of Douglas obliteration using the sliding sign, and systematic assessment of specific sites such as the vagina, retrocervical region, bladder wall, and deep rectal nodes, with nodules characterized by hypoechoic lesions and power Doppler vascularity. The paper notes the need for noninvasive pelvic classification to support presurgical staging using Enzian and AAGL systems, but it is a narrative review, so it does not provide new primary diagnostic performance estimates. Relevance to endometriosis: the paper is centrally about endometriosis—how sonography (especially TVS with Doppler and dynamic sliding-sign techniques) detects and stages pelvic disease.

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Condition tags

endometriosis

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last seen: 2026-06-10T17:14:06.276822+00:00
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