scholarly journals OP20.04: Is experience of sonographers sufficient to diagnose deep infiltrating endometriosis and bowel involvement by transvaginal ultrasonography?

2014 ◽  
Vol 44 (S1) ◽  
pp. 110-111
Author(s):  
A. Roséfort ◽  
C. Huchon ◽  
S. Estrade ◽  
C. Muratorio ◽  
J. Bernard ◽  
...  
Keyword(s):  
Transvaginal Ultrasonography ◽  
Deep Infiltrating Endometriosis ◽  
Bowel Involvement ◽  
Infiltrating Endometriosis

scholarly journals Rectovaginal Examination, Transvaginal Ultrasonography, and Magnetic Resonance Imaging as Diagnostic Tools for Identifying Deep Infiltrating Endometriosis Nodules

2018 ◽  
pp. 167
Author(s):  
Florencia Wirawan ◽  
Luky S Marwali ◽  
Refni Muslim ◽  
Eva R Silalahi ◽  
Harjo S Bayuaji ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Predictive Value ◽  
Transvaginal Ultrasonography ◽  
Diagnostic Tools ◽  
Deep Infiltrating Endometriosis ◽  
Resonance Imaging ◽  
Rectosigmoid Colon ◽  
Uterosacral Ligaments ◽  
Infiltrating Endometriosis

    Objective: To investigate the comparison between rectovaginal examination (RVT), transvaginal ultrasonography (TVUS) and magnetic resonance imaging (MRI) as diagnostic tools for identifying various Deep Infiltrating Endometriosis (DIE).   Methods: Prospective longitudinal study was done involving 31 women referred for surgical management of DIE. Calculation of sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy of RVT, TVUS and MRI for DIE were recorded.   Results: The mean age was 35.1 years. DIE were present in 95.45% of women which commonly located at uterosacral ligaments (58.33%), followed by rectovaginal (16,67%), rectosigmoid- colon (16.67%) and bladder-ureter (8.3%). TVUS had the best accuracy (RVT 50.24%; TVUS 88.85%; MRI 75.77%) among other diagnostic tools for nodules located at uterosacral ligaments (RVT 52.63%; TVUS 87%; MRI 40%) and rectovaginal (RVT 76.75%; TVUS 93.34%; MRI 80%), but it poorly identified nodules located at rectosigmoid (RVT 20%; TVUS 65.56%; MRI 88.75%) and bladder-ureteral area (RVT 50.44%; TVUS 87.66%; MRI 93.55%). RVT had good PPV (88.89%) but bad NPV (32.01%) profile, made it worth to be a screening diagnostic tool.   Conclusion: RVT was a good screening diagnostic tools as it could be done easily but was weak in diagnosing anterior DIE. TVUS gave a better diagnosis rates on DIE located at sacrouterina ligaments and rectovaginal area whereas MRI did better on bowel DIE (rectosigmoid- colon area) and urological DIE (bladder-ureteral area).    Keywords: deep infiltrating endometriosis, magnetic resonance imaging, tranvaginal ultrasonography

Management of Bowel Involvement in Deep Infiltrating Endometriosis. Our Results

2012 ◽  
Vol 19 (6) ◽  
pp. S135
Author(s):  
L. Muñoz ◽  
L. Marqueta ◽  
A. Tejerizo ◽  
G. López ◽  
E. Lorenzo ◽  
...  
Keyword(s):  
Deep Infiltrating Endometriosis ◽  
Bowel Involvement ◽  
Infiltrating Endometriosis

scholarly journals Diagnosis and treatment of deep infiltrating endometriosis with bowel involvement: A case report

2011 ◽  
Vol 139 (7-8) ◽  
pp. 531-535 ◽  
Author(s):  
Radmila Sparic ◽  
Gernot Hudelist ◽  
Joerg Keckstein
Keyword(s):  
Transvaginal Ultrasound ◽  
Laparoscopic Approach ◽  
Transvaginal Sonography ◽  
Deep Infiltrating Endometriosis ◽  
Deep Endometriosis ◽  
Fertility Sparing ◽  
Bowel Involvement ◽  
Surgical Teams ◽  
Histological Confirmation ◽  
Infiltrating Endometriosis

Introduction. Deep infiltrating endometriosis is a form of endometriosis penetrating deeply under the peritoneal surface causing pain and infertility. Assessment of the pelvis by laparoscopy and histological confirmation of the disease is considered the golden standard of diagnosis. Case Outline. We are presenting a patient diagnosed with deep infiltrating endometriosis by transvaginal ultrasound and treated with minimally invasive radical surgery including segmental resection of the bowel. Conclusion. Transvaginal sonography has an important role in detecting deep endometriosis of the pelvis. Fertility sparing surgery is the treatment of choice in symptomatic women wishing to retain fertility, since drugs used for endometriosis interfere with ovulation. The success of the surgery depends on the accuracy of the preoperative diagnosis. A multidisciplinary approach in managing deep endometriosis is mandatory in order to offer patients the best possible treatment using the combined skills of the colorectal and gynaecologic surgical teams. The presented case exhibits the feasibility of laparoscopic approach to severe pelvic endometriosis with bowel involvement.

Quality of Life after Segmental Resection of the Rectosigmoid by Laparoscopy in Patients with Deep Infiltrating Endometriosis with Bowel Involvement

2011 ◽  
Vol 18 (6) ◽  
pp. 730-733 ◽  
Author(s):  
Marco Antonio Bassi ◽  
Sergio Podgaec ◽  
João Antonio Dias ◽  
Nicolau D’Amico Filho ◽  
Carlos Alberto Petta ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Segmental Resection ◽  
Deep Infiltrating Endometriosis ◽  
Bowel Involvement ◽  
Infiltrating Endometriosis

scholarly journals Diagnosis of Deep Infiltrating Endometriosis Using Transvaginal Ultrasonography

2020 ◽  
Vol 7 ◽  
Author(s):  
Shaoli Yin ◽  
Qi Lin ◽  
Fanhua Xu ◽  
Jinfeng Xu ◽  
Yujuan Zhang
Keyword(s):  
Predictive Value ◽  
Broad Ligament ◽  
Ground Truth ◽  
Uterosacral Ligament ◽  
High Accuracy ◽  
Pathological Diagnosis ◽  
Transvaginal Ultrasonography ◽  
Deep Infiltrating Endometriosis ◽  
Intestinal Involvement ◽  
Infiltrating Endometriosis

Objective: To evaluate the performance of transvaginal ultrasonography (TVS) in diagnosis of deep infiltrating endometriosis (DIE).Methods: We retrospectively analyzed 198 patients with pathological diagnosis of DIE in our hospital from January 2017 to December 2019 and assessed the performances of pre-operative TVS diagnosis of DIE with regarding to sensitivity (SE), specificity (SP), positive predictive value (PPV), and negative predictive value (NPV), using the pathological diagnosis as the ground truth. We also characterized the ultrasonographic features of the DIE lesions.Results: Among all the 198 cases, 170 cases were uterosacral ligament (USL) involvement, SE: 96.47% and SP: 85.71%; 79 cases were intestinal involvement, SE: 94.94% and SP: 94.96%; 57 cases were vaginal rectal septum (VRS) involvement, SE: 73.68% and SP: 94.33%; 20 cases were vaginal involvement, SE: 50% and SP: 97.21%; three cases were bladder involvement, SE: 66.7% and SP: 100%; nine cases were ureter involvement, SE: 55.56% and SP: 100%; and 10 cases were broad ligament involvement, SE: 10% and SP: 100%.Conclusion: TVS showed high accuracy in diagnosing DIE.

Sign in / Sign up

Export Citation Format

Share Document