Correlation of the three-dimensional ultrasound findings with pathology in patients with deep pelvic infiltrating endometriosis submitted to surgery

Abstract

Objective This study aims to correlate the findings of the three-dimensional anorectal ultrasonography (3D-AUS) with pathological findings in patients with deep pelvic infiltrating endometriosis. Methods Prospective study of a series of 40 patients with deep pelvic infiltrating endometriosis diagnosed by three-dimensional anorectal ultrasonography and who were submitted to a laparoscopy. The specimens were examined histologically and compared with the results of the three-dimensional anorectal ultrasonography. The research was conducted between March 2008 and March 2011. Results The results of the examinations were: 72.5% of patients (n = 29) with endometriosis, 12.5% (n = 5) with nonspecific chronic inflammatory reaction, 5% (n = 2) with nonspecific fibrous tissue, 2.5% (n = 1) with adenomyoma, 2.5% (n = 1) with colonic mucosa with foci of recent hemorrhage, edema of lamina propria and superficial erosions, 2.5% (n = 1) with hyperplasia of lymphoid follicles, and the remaining 2.5% (n = 1) with peritoneal tissue within normal limits. Conclusion We conclude that the use of three-dimensional anorectal ultrasonography in patients with deep pelvic infiltrating endometriosis aid in the diagnosis of rectal lesions, when compared with the pathological findings of surgical specimens.

Novas perspectivas para o tratamento da endometriose

“…Algumas teorias buscam explicar essas ocorrências, onde pode ser atribuída a variação na resposta inflamatória, a lesões retroperitoneais imperceptíveis ou à densidade dos nervos acometidos (KONINCKX PR, et al, 2021). Dentre as problemáticas que envolvem a endometriose, podemos destacar a infertilidade, onde, cerca de 20-68% das pacientes inférteis sofrem de endometriose (DA SILVA MCL, et al, 2016). Além disso, diversos impactos negativos estão associados a manifestação dessa doença, em razão da mesma apresentar sintomas intensos e expressivos, limitando as atividades diárias.…”