Imaging of intestinal involvement in endometriosis
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This paper reviews imaging techniques used to detect and assess intestinal involvement in patients with endometriosis.
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Abstract
Deep gastrointestinal involvement in endometriosis is characterised by fibrous, retractile thickening of the intestinal wall. The most common location is the upper rectum, in contiguity with a lesion of the torus uterinus. As part of a preoperative assessment, it is essential to establish an accurate and exhaustive map of intestinal lesions so that the surgeon can plan his actions. Transvaginal sonography and MRI correctly analyse pelvic and rectal involvement. Given the frequency of multiple intestinal sites, particularly sigmoid and associated ileo-caecal lesions, water enema CT should be performed. The role of rectal endoscopic sonography is debated.
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References (10)
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Cited by (11)
- Laparoscopic mesentery-sparing NOSE bowel resection for endometriosis: when and how? 2025
- Rectal endometriosis imaging: A case based pictorial essay 2023
- Pre-Treatment Imaging in the Surgical Management of Endometriosis 2019
- Diagnosis of endometriosis in the 21st century 2019
- Transvaginal sonography with <i>vs</i> without bowel preparation in diagnosis of rectosigmoid endometriosis: prospective study 2018
- Clinical features, socio-demographic profile and ultrasound findings in women with endometriosis symptoms 2018
- A national snapshot of the surgical management of deep infiltrating endometriosis of the rectum and colon in France in 2015: A multicenter series of 1135 cases 2017
- Sonographic evaluation of deep endometriosis: protocol for a US radiology practice 2016
- How to Manage Bowel Endometriosis: The ETIC Approach 2015
- Postoperative pelvic pain: An imaging approach 2015
- Contribution of Computed Tomography Enema and Magnetic Resonance Imaging to Diagnose Multifocal and Multicentric Bowel Lesions in Patients With Colorectal Endometriosis 2015
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- europepmc
- last seen: 2026-08-13T06:15:24.848197+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-05-13T22:19:12.052662+00:00
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