Endometriosis

Dawood, M. Yusoff

doi:10.1007/978-1-4613-2157-6_18

Cited by 7 publications

(1 citation statement)

References 87 publications

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“…It may be discovered in 20% of all gynecologic laparotomies performed for pelvic pain. 7 lnfertility may be due to endometriosis in 5% to 15% of all cases 7 and in 30% of cases in which no other significant abnormalities are found. 8 Our patient population varied demographically from the classical description of the patient likely to have endometriosis, namely the young, nulliparous, white woman.…”

Section: Discussionmentioning

confidence: 98%

The spectrum of sonographic findings in endometriomas.

Athey

Diment

1989

Journal of Ultrasound in Medicine

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The sonographic features of 40 pathologically proven endometriomas in 32 patients were reviewed to evaluate their sonographic spectrum. Acoustic enhancement was present in 88% and indeterminate in 10% due to technical factors. With respect to internal echo texture, the majority of endometriomas were predominantly anechoic (80%): 7 were totally anechoic; 4 contained septalions; 12 contained scattered internal echoes, with or without septations; and 9 contained dependent echoes, E ndometriosis is a common clinical entity in women of childbearing age with significant implications. It is defined as the presence of active, functioning endometrial tissue outside the uterus. When these foci become walled off and develop internal hemorrhage, endometriomas result. According to a study by Friedman et al, 1 small endometrial implants are difficult to demonstrate sonographically. Moreover, the demonstration of associated sonolucent areas in the myometrium, attributed to adenomyosis by Walsh et al, 1 has not been reproduced.3 Thus the only single reliable sonographic finding of endometriosis is the endometrioma. Several authors have reviewed the sonographic findings in endometriosis. 1 .2· 4 -6 and categorized the masses as cystic, complex (mixed), or solid, with occasional mention of other characteristics.In order to make this diagnosis more frequently, we with or without septations. Seven endometriomas con· tained diffuse, low·level internal echoes and were considered hypoechoic, but still fluid-containing masses. Only 1 was echogenic. The overall appearance frequently simulated that of hemorrhagic ovarian cyst, but in some cases endometriomas resembled tube-ovarian abscess, cystadenoma/cystadenocarcinoma, or ectopic pregnancy. KEY WORDS: ultrasonography, gynecologic, endometrioma. (/ Ultrasound Med 8:487, 1989) analyzed multiple sonographic characteristics in a series of 40 endometriomas, which is to our knowledge the largest single series to date. MATERIALS AND METHODSThe sonograms and clinical records on 32 patients with 40 surgically and pathologically documented endometriomas were reviewed retrospectively. These cases were accumulated via a system whereby the hospital charts of all patients with adnexal masses were reviewed for surgical confirmation. Most scans were performed with real-time equipment using either 3.5-or 5-MHz transducers. Static scans only were performed in some of the earlier cases. Techniques were adjusted to best analyze the internal architecture of each mass. The sonographic characteristics of the endometriomas that were assessed included size, shape, location, acoustic enhancement, wall thickness, and internal echogenicity, as well as the presence and characterization of septations. The presence of additional adnexal masses, uterine abnormalities, and free fluid was also recorded.Clinical data analyzed included age, race, parity, prior history of endometriosis, major symptoms, and results of pelvic examinations. Surgery and pathology reports

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Section: Discussionmentioning

confidence: 98%

The spectrum of sonographic findings in endometriomas.

Athey

Diment

1989

Journal of Ultrasound in Medicine

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Selected Disorders of the Female Reproductive System

Newkirk¹,

Boken²

2003

Family Medicine

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Pelvic pain is one of the most vexing problems encountered by the family physician. The monetary and psychosocial costs are unknown hut are assumed to be high. In the United States about 40% of all laparoscopies are done for the evaluation and treatment of pelvic pain. I Evaluation of Pelvic Pain Clinical PresentationPatients with pelvic pain present with a wide variety of complaints and physical findings. To better understand the causes of pelvic pain and assist with the initial evaluation, it is helpful to distinguish acute pelvic pain from chrouic pelvic pain. Chronic pelvic pain is present for 6 months or more and acute pelvic pain for less than 6 months. Chronic pelvic pain syndrome is characterized by incomplete response to treatment, impairment at work or home, signs of depression, and pain that is worse than would be expected on the basis of the pathologic process2 (see Chapter 61).

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Selected Disorders of the Female Reproductive System

Newkirk¹,

McGuire²

1998

Family Medicine

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Endometriosis

Cited by 7 publications

References 87 publications

The spectrum of sonographic findings in endometriomas.

The spectrum of sonographic findings in endometriomas.

Selected Disorders of the Female Reproductive System

Selected Disorders of the Female Reproductive System

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