Rectal Endoscopic Ultrasound with a Radial Probe in the Assessment of Rectovaginal Endometriosis

Abrão MS, Mauricio Simões Abrão, Maurício Simões Abrão, Rosa Maria Neme, Neme RM, Marcelo Averbach, Petta CA, Carlos Alberto Petta, José Mendes Aldrighi
The Journal of the American Association of Gynecologic Laparoscopists · 2004 · vol. 11(1) , pp. 50–54 · doi:10.1016/s1074-3804(05)60010-2 · PMID:15104831 · W2092424798
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This study assessed the utility of radial probe rectal endoscopic ultrasound for evaluating rectovaginal endometriosis.

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Abstract

Study objectiveTo evaluate the accuracy of rectal endoscopic ultrasound and to evaluate endometriosis in the rectovaginal septum, rectum, and sigmoid walls.DesignValidation of diagnostic test (Canadian Task Force classification II-1).SettingTertiary care hospital.PatientsThirty-two consecutive women clinically suspected of having rectovaginal septum endometriosis without previous surgical treatment.InterventionColonoscopy, transrectal ultrasound, and rectal endoscopic ultrasound, followed by laparoscopy or laparotomy.Measurements and main resultsThe disease was classified according to 1996 standards of the American Society of Reproductive Medicine. Images obtained by colonoscopy, endoscopic ultrasound, and surgery and histologic findings were compared. In 6 patients endometriosis infiltrated bowel muscularis wall, in 20 it infiltrated rectovaginal septum, and in the remaining 6 there was no evidence of lesions. In all women in whom infiltration of the intestinal wall was suspected, rectal endoscopic ultrasound and colonoscopy confirmed the lesions (sensitivity 100%, specificity 67%).ConclusionEndoscopic ultrasound was useful in preoperative assessment of women with endometriosis.

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Condition tags

endometriosisbowel_endometriosis

MeSH descriptors

Endometriosis Endosonography Rectal Diseases Vaginal Diseases Adult Colonoscopy Endometriosis Endometriosis Endometriosis Female Humans Laparoscopy Rectal Diseases Rectal Diseases Rectal Diseases Rectum Rectum Vaginal Diseases Vaginal Diseases Vaginal Diseases

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