Role of EUS and EUS-guided FNA in the diagnosis of symptomatic rectosigmoid endometriosis
Case report
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⤵ 32 in-corpus citations
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This study evaluated the diagnostic utility of endoscopic ultrasound (EUS) and EUS-guided fine-needle aspiration (FNA) for rectosigmoid endometriosis in symptomatic patients.
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Abstract
BACKGROUND: Rectosigmoid endometriosis is an underrecognized cause of GI symptoms in women. Pelvic magnetic resonance imaging and CT have a low sensitivity in making this diagnosis. The role of EUS and EUS-guided FNA (EUS-FNA) in the diagnosis of rectosigmoid endometriosis in symptomatic patients is not well studied.
METHODS: A review of medical records identified 5 women who were diagnosed with rectosigmoid endometriosis by EUS and EUS-FNA over a period of 1 year.
OBSERVATIONS: Five women with nonspecific GI complaints underwent EUS examination of a rectosigmoid subepithelial mass found on colonoscopy. EUS revealed a hypoechoic lesion infiltrating the muscularis propria and the serosa of the rectal wall, and extending outside the rectal wall, findings consistent with rectosigmoid endometriosis. This diagnosis was confirmed by EUS-FNA, surgical exploration, and/or the patient's clinical course.
CONCLUSIONS: EUS and EUS-FNA are noninvasive, sensitive techniques for the diagnosis of rectosigmoid endometriosis in symptomatic patients.
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- Diagnostic value of endoscopic ultrasonography in pelvic masses with bowel involvement 2023
- Diagnosis of Bowel Endometriosis Using Endoscopic Ultrasound-guided Fine Needle Aspiration 2023
- Two Cases of Laparoscopy-assisted Ileocecal Resection for Cecal Endometriosis 2023
- A case of endometrioid carcinoma of the rectum arising from rectal endometriosis treated by laparoscopic surgery 2020
- A Case of Intussusception due to Cecal Endometriosis that Underwent Emergency Laparoscopic Surgery 2020
- A Case of Laparoscopic-assisted Ileocecal Resection for Cecal Endometriosis with Intestinal Intussusception 2020
- A Case of Cecal Endometriosis Not Diagnosed Preoperatively 2020
- A Case of Laparoscopic Ileocecal Resection for Recurrent Intestinal Obstruction Caused by Ileal Endometriosis 2019
- A Case of Sigmoid Colon Endometriosis Resection Diagnosed by EUS-FNA 2019
- Endoscopic ultrasound-guided fine needle aspiration for the diagnosis of bowel endometriosis: a case report 2019
- Sigmoid endometriosis diagnosed preoperatively using endoscopic ultrasound-guided fine-needle aspiration 2019
- A Case of Endometriosis in Rectosigmoid Treated by Laparoscopic Surgery 2017
- Imaging modalities for the non-invasive diagnosis of endometriosis 2016
- An extremely rare case of gastric subepithelial tumor: gastric endometriosis 2015
- [Colonic Endometriosis] 2015
- A Case of Endometriosis of Ileum Presenting with Intestinal Obstruction 2015
- A case of rectal bleeding caused by digestive endometriosis resembling colon cancer 2014
- Ultrasonographic evaluation of anal endometriosis: report of four cases 2014
- Morphologic features of endometriosis in various types of cytologic specimens 2013
- Morphologic features of endometriosis in various types of cytologic specimens 2013
- Rectal endometriosis--rare case of intestinal obstruction. Case report 2013
- Surgical Considerations in Colorectal Endometriosis 2012
- Isolated bowel endometriosis resembling a myogenic tumor on endoscopic ultrasonography 2012
- Transrectal ultrasound - Techniques and outcomes in the management of intestinal endometriosis 2012
- Ultrasound Diagnosis of Pelvic Endometriosis 2011
- Endoscopic rectal ultrasound and elastosonography are useful in flow chart for the diagnosis of deep pelvic endometriosis with rectal involvement 2010
- Endometriosis imitating bleeding sigma tumor, infiltrating left ureter 2010
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