Deep endometriosis transvaginal ultrasound in the workup of patients with signs and symptoms of endometriosis: a cost analysis

2019 ◽  
Vol 126 (12) ◽  
pp. 1499-1506 ◽  
Author(s):  
M Leonardi ◽  
E Martin ◽  
S Reid ◽  
G Blanchette ◽  
G Condous
Keyword(s):  
Cost Analysis ◽  
Transvaginal Ultrasound ◽  
Signs And Symptoms ◽  
Deep Endometriosis

scholarly journals Cost analysis of the use of deep endometriosis transvaginal ultrasound in the workup of patients with symptoms of endometriosis

2019 ◽  
Vol 45 ◽  
pp. S105
Author(s):  
Mathew Leonardi ◽  
Elizabeth Martin ◽  
Shannon Reid ◽  
Glenn Blanchette ◽  
George Condous
Keyword(s):  
Cost Analysis ◽  
Transvaginal Ultrasound ◽  
Deep Endometriosis

Spontaneous subcapsular and perirenal haemorrhage with retroperitoneal haematoma in a patient with ovarian melanoma metastases

2021 ◽  
Vol 14 (1) ◽  
pp. e238983
Author(s):  
Stefania Malmusi ◽  
Mirvana Airoud ◽  
Manuela Bellafronte ◽  
Maria Cristina Galassi
Keyword(s):  
Transvaginal Ultrasound ◽  
Flank Region ◽  
Signs And Symptoms ◽  
Surgical Removal ◽  
Retroperitoneal Haematoma ◽  
Amelanotic Malignant Melanoma ◽  
Contrast Enhanced Ct ◽  
Video Laparoscopy ◽  
Final Histological Diagnosis ◽  
Kidney Metastasis

A 47-year-old woman was admitted to our clinic for intensive pain in the left flank region. The transvaginal ultrasound showed a left adnexal solid mass with ascites. She had undergone surgical removal of skin melanoma in 2008, but in September 2019, intracardiac metastasis resulting from it had been discovered. CT performed in March 2020 had been negative for other metastases. A full abdomen ultrasound was not performed. During the night, the patient began to show signs and symptoms of hypovolaemic shock. The patient was urgently transferred to the operating room for a video laparoscopy. A vast left retroperitoneal haematoma was diagnosed along with voluminous enlargement of the left ovary. We proceeded with a left adnexectomy and blood transfusion. Subsequent contrast-enhanced CT revealed a left subcapsular, perirenal haematoma and a voluminous retroperitoneal haematoma. Kidney metastasis was also seen. The final histological diagnosis was metastatic amelanotic malignant melanoma of the ovary.

scholarly journals OP16.03: Extended transvaginal ultrasound in deep endometriosis: use of bowel preparation and acoustic window with intravaginal gel

2013 ◽  
Vol 42 (s1) ◽  
pp. 92-93
Author(s):  
M. León ◽  
J. Alcazar ◽  
H. Vaccaro ◽  
J. Martinez ◽  
J. Gutierrez ◽  
...  
Keyword(s):  
Bowel Preparation ◽  
Transvaginal Ultrasound ◽  
Deep Endometriosis ◽  
Acoustic Window

Initial Accuracy of and Learning Curve for Transvaginal Ultrasound with Bowel Preparation for Deep Endometriosis in a US Tertiary Care Center

2017 ◽  
Vol 24 (7) ◽  
pp. 1170-1176 ◽  
Author(s):  
Scott W. Young ◽  
Nirvikar Dahiya ◽  
Maitray D. Patel ◽  
Mauricio S. Abrao ◽  
Javier F. Magrina ◽  
...  
Keyword(s):  
Learning Curve ◽  
Bowel Preparation ◽  
Transvaginal Ultrasound ◽  
Care Center ◽  
Tertiary Care ◽  
Tertiary Care Center ◽  
Deep Endometriosis

scholarly journals Adenomyosis is an independent risk factor for complications in deep endometriosis laparoscopic surgery

2021 ◽  
Author(s):  
Meritxell Gracia ◽  
Cristian de Guirior ◽  
Marta Valdés-Bango ◽  
Mariona Rius ◽  
Cristina Ros ◽  
...  
Keyword(s):  
Multivariate Analysis ◽  
Risk Factor ◽  
Laparoscopic Surgery ◽  
Surgical Complications ◽  
Transvaginal Ultrasound ◽  
Surgical Time ◽  
Deep Endometriosis ◽  
Analysis Group ◽  
Increased Risk ◽  
The Impact

Abstract Background Deep endometriosis (DE) occurs in 15–30% of patients with endometriosis and is associated with concomitant adenomyosis in around 49% of cases. There are no data about the effect of the presence of adenomyosis in terms of surgical outcomes and complications. Thus, the aim of the present study was to evaluate the impact of adenomyosis on surgical complications in women with deep endometriosis undergoing laparoscopic surgery. Methods A retrospective cohort study including women referred to the endometriosis unit of a referral teaching hospital. Two expert sonographers preoperatively diagnosed DE and adenomyosis. DE was defined according to the criteria of the International Deep Endometriosis Analysis group. Adenomyosis was considered when 3 or more ultrasound criteria of the Morphological Uterus Sonographic Assessment group were present. Demographical variables, current medical treatment, symptoms, DE location, surgical time, hospital stay and difference in pre and post hemoglobin levels were collected. The Clavien-Dindo classification was used to assess surgical complications, and multivariate analysis was performed to compare patients with and without adenomyosis. Results 157 DE patients were included into the study; 77 (49.05%) had adenomyosis according to transvaginal ultrasound (TVS) and were classified in the A group, and 80 (50.95%) had no adenomyosis and were classified in the noA group. Adenomyosis was associated with a higher rate of surgical complications: 33.76% (A group) vs. 12.5% (noA group) (p < 0.001). Multivariate analysis showed a 4.56-fold increased risk of presenting complications in women with adenomyosis (CI: 1.9–11.3; p = 0.001) independently of undergoing hysterectomy. There was a statistically significant association between the number of criteria of adenomyosis present in each patient and the proportion of patients presenting surgical complications (p < 0.001). Conclusions Adenomyosis increases the risk of presenting complications in DE surgery after controlling for demographic, clinical and surgical factors and should be considered an independent preoperative risk factor of surgical complications.

scholarly journals Transvaginal ultrasound in deep endometriosis: pictorial essay

2019 ◽  
Vol 52 (5) ◽  
pp. 337-341 ◽  
Author(s):  
Jorge Gilmar Amaral de Oliveira ◽  
Vanessa Bonfada ◽  
Janice de Fátima Pavan Zanella ◽  
Janaina Coser
Keyword(s):  
Preoperative Planning ◽  
Low Cost ◽  
Transvaginal Ultrasound ◽  
Standard Test ◽  
Pelvic Endometriosis ◽  
First Line ◽  
Deep Endometriosis ◽  
Gold Standard Test ◽  
Pictorial Essay ◽  
Deep Pelvic Endometriosis

Abstract Endometriosis is characterized by the presence of endometrial tissue outside the uterus. When endometrial implants penetrate more than 5 mm into the peritoneum, the condition is referred to as deep pelvic endometriosis. Although laparoscopy is the gold standard test to establish a diagnosis of deep endometriosis, transvaginal ultrasound represents an alternative that can contribute to detection of the disease, because it is an accessible, low-cost, noninvasive examination that allows preoperative planning in cases requiring surgical treatment. However, in clinical practice, transvaginal ultrasound is still not widely used as the first-line examination in suspected cases of endometriosis. This essay describes the findings of deep endometriosis on transvaginal ultrasound, in order to disseminate knowledge of the utility of the technique for the diagnosis of this disease.

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