Valor do enema de bário com duplo contraste no diagnóstico da endometriose do reto e sigmóide

Abstract

the DCBE presents high sensitivity and high positive predictive value, in the diagnosis of the rectum and sigmoid endometriosis. Radiologic images speculum and stenosis-type present high sensitivity and positive predictive value for the intestinal infiltration by endometriosis.

Obstrução intestinal causada por endometriose

“…The mean age of patients diagnosed with endometriosis ranges from 25 to 30 years of age; is also found among adolescents with chronic pelvic pain and dyspareunia. Infertility occurs in 30% of cases 7,11 .…”

“…Intestinal involvement in endometriosis occurs in 3% to 37%. The rectum and sigmoid are responsible for 73% of cases and the rectovaginal septum by 13% followed, in descending order, the ileocecal appendix, terminal ileum and cecum 1,4,6,7,10,11,12,13 .…”

“…It can also occurs in distant organs like the lungs, pleura, liver, gastrointestinal tract, central nervous system, skin, striated muscle 4,6,8 . In the digestive tract the most affected sites in descending order are the rectum, sigmoid colon, ileocecal appendix, terminal ileum and cecum 1,4,6,7,10,11,12,13 . The diagnosis of endometriosis can be difficult because of its nonspecific symptoms.…”

“…The diagnosis of endometriosis can be difficult because of its nonspecific symptoms. When located in the large intestine the distinction with malignancies, inflammatory and stenosis should always be suspected 6,8,9,10,11,13 .…”

“…The treatment of intestinal endometriosis may be surgical or hormonal, depending on age, the desire to maintain fertility, the severity and complications of the disease 4,6,7,11 .…”