Endométriose digestive : aspects radiologiques

Hélène Gimonet, Valérie Laigle-Quérat
In: Côlon & Rectum · 2016 · vol. 10(3) , pp. 167–171 · doi:10.1007/s11725-016-0659-x · W2485559356
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This review details how ultrasound, CT, and particularly MRI are essential for pre-operative assessment of digestive endometriosis to plan surgical strategy and avoid surprises.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 · read from full text ⓘ

This paper discusses digestive endometriosis as a frequent complication in patients managed for endometriosis, emphasizing the need for complete preoperative staging to accurately map lesions and plan surgical strategy while avoiding intraoperative surprises. It highlights abdominal imaging—ultrasound, CT-scan, and especially MRI—as key examinations, noting that digestive endoscopy may fail because endometriosis involvement can develop from the outside of the bowel inward. The paper presents imaging as indispensable for diagnosis and pre-surgical planning, implicitly building on the reported limitations of endoscopic assessment. This paper is centrally about endometriosis — it focuses specifically on the radiological aspects and preoperative imaging of digestive (bowel) endometriosis.

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Abstract

L’endométriose digestive est une situation fréquente chez les patientes prises en charge pour une endométriose. Un bilan complet est indispensable pour avoir une connaissance préopératoire précise de l’ensemble des lésions présentes. Ce bilan doit permettre de programmer une stratégie chirurgicale en préopératoire et éviter d’être confronté à de mauvaises surprises. L’échographie, le scanner et surtout l’IRM sont les principaux examens disponibles. Dans un contexte où l’endoscopie digestive peut être prise en défaut dans le diagnostic (l’atteinte pariétale se fait de dehors en dedans), ces examens sont indispensables pour poser le diagnostic et planifier la prise en charge des patients.
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Abstract

Digestive endometriosis is a frequent complication of endometriosis. A complete preoperative staging is mandatory before planning the patient management, particularly surgically. Abdominal imaging is crucial to avoid any disappointing situation during the surgical procedure. Ultrasound, CT-scan and MRI are the main routine exams performed. In a context of often failing endoscopic assessment for endometriosis, those exams are necessary to offer the patients an optimal surgical management.

References

Piketty M, Chopin N, Dousset B, et al (2009) Preoperative workup for patients with deeply infiltrating endometriosis: transvaginal ultrasonography must definitely be the first-line imaging examination. Hum Reprod 24:602–7 Vimercati A, Achilarre MT, Scardapane A, et al (2012) Accuracy of transvaginal sonography and contrast-enhanced magnetic resonance-colonography for the presurgical staging of deep infiltrating endometriosis. Ultrasound Obstet Gynecol 40:592–603 Bazot M, Darai E, Hourani R, et al (2004) Deep Pelvic Endometriosis: MR Imaging for Diagnosis and Prediction of Extension of Disease. Radiology 232:379–89 Hudelist G, English J, Thomas AE, et al (2011) Diagnostic accuracy of transvaginal ultrasound for non-invasive diagnosis of bowel endometriosis: systematic review and meta-analysis. Ultrasound Obstet Gynecol 37:257–63 Biscaldi E, Ferrero S, Fulcheri E, et al (2007) Multislice CT enteroclysis in the diagnosis of bowel endometriosis. Eur Radiol 17:211–9 Iosca S, Lumia D, Bracchi E, et al (2013) Multislice computed tomography with colon water distension (MSCT-c) in the study of intestinal and ureteral endometriosis. Clin Imaging 37:1061–8 Rousset P, Peyron N, Charlot M, et al (2014) Bowel Endometriosis: Preoperative Diagnostic Accuracy of 3.0-T MR Enterography- Initial Results. Radiology 273:117–24 Author information Authors and Affiliations Corresponding author About this article Cite this article Gimonet, H., Laigle-Querat, V. Endométriose digestive : aspects radiologiques. Colon Rectum 10, 167–171 (2016). https://doi.org/10.1007/s11725-016-0659-x Published: Issue date: DOI: https://doi.org/10.1007/s11725-016-0659-x

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