Endometriosis detection by US with laparoscopic correlation.
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Pelvic ultrasound detected endometriosis in only 10.8% of patients confirmed to have the condition laparoscopically, indicating low sensitivity and specificity.
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Abstract
Endometriosis is a common cause of female infertility. It may affect as many as 40% of infertile women and may be the sole contributing factor to infertility in 15%. A study was undertaken to determine the usefulness of the routine pelvic ultrasound (US) examination in the detection of endometriosis by correlating pelvic US findings with laparoscopic findings in 85 patients who underwent both examinations. Forty-eight patients (56.5%) had no laparoscopic evidence of endometriosis, and 37 patients (43.6%) had endometriosis. Eight of the patients had abnormal sonograms; of these patients, only four had sonographic abnormalities that corresponded to laparoscopically identified endometriosis. Thus, US was successful in detecting endometriosis in only four (10.8%) of 37 patients. US is neither sensitive nor specific in diagnosing endometriosis. Furthermore, we believe that US does not have a significant role in the diagnosis or management of endometriosis in patients in whom a pelvic mass or other obvious pelvic abnormality is not suspected.
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Cited by (49)
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- The Clinical Diagnosis of Pelvic Endometriosis in Adolescents 2017
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- Endometrioma of the Ileocecal Valve Causing Intestinal Obstruction with Evidence of Locoregional Lymphatic Involvement 2015
- ACR Appropriateness Criteria® Infertility 2015
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- The ‘sliding sign’ in conjunction with sonovaginography: is this the optimal approach for the diagnosis of Pouch of Douglas obliteration and posterior compartment deep infiltrating endometriosis? 2013
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- Female Infertility: A Systematic Approach to Radiologic Imaging and Diagnosis 2009
- Endometriosis intestinal. Estado actual 2007
- Endorectal Ultrasonography in Predicting Rectal Wall Infiltration in Patients With Deep Pelvic Endometriosis: A Modern Tool for an Ancient Disease 2006
- "Endometriose do trato gastrointestinal: correlações clínicas e laparoscópicas; papel da corrida dos órgãos peritoneais na endometriose (COPE)" 2005
- Sonovaginography is a new technique for assessing rectovaginal endometriosis 2003
- An evidence-based evaluation of endometriosis-associated infertility 2003
- A systematic review of the accuracy of ultrasound in the diagnosis of endometriosis 2002
- Deeply Infiltrating Endometriosis: Implications, Diagnosis, and Management 2001
- Role of color Doppler ultrasonography in the diagnosis of endometriotic cyst. 2000
- Diagnostic value of radiological tests in chronic pelvic pain 2000
- Chapter 5 Diagnosis of Endometriosis 1999
- Diagnosis of Recurrent Endometriosis 1999
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- The role of transvaginal ultrasonography In the direction of pelvic pathologies in the infertility workup 1998
- The role of transvaginal ultrasonography combined with color velocity imaging and pulsed Doppler in the diagnosis of endometrioma 1997
- EXTRAPELVIC ENDOMETRIOSIS 1997
- Endometriosis: Appearance and detection with conventional and contrast‐enhanced fat‐suppressed spin‐echo techniques 1995
- Role of transvaginal sonography in the detection of endometriomata 1995
- Diagnosis of pelvic endometriosis by magnetic resonance imaging using “fat-saturation” technique 1994
- Epidemiology and Diagnosis of Endometriosis 1994
- Endometriosis 1993
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- Laparoscopic Partial Cystectomy for Vesical Endometrioma 1993
- Magnetic resonance imaging using “fat-saturation” technique is useful for diagnosing small endometrioma: a case report 1992
- Clinical Presentation and Diagnosis of Endometriosis 1989
- The value of ultrasound in the initial assessment of gynecological patients 1987
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