Isolated Ovarian Endometrioma: A History Between Myth and Reality

Exacoustòs, C.; Felice, G. De; Pizzo, Alessandra; Morosetti, G.; Lazzeri, Lucia; Centini, Gabriele; Piccione, Emilio; Zupi, Errico

doi:10.1016/j.jmig.2017.12.026

Cited by 46 publications

(27 citation statements)

References 34 publications

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“…Certain US findings that are easy to evaluate, although associated with the presence of DE in general, have a relatively low diagnostic relevance for RS lesions. For example, while an association of endometrioma with DE has been demonstrated, our study suggests that this ovarian lesion is not directly correlated with the presence of RS endometriosis.…”

Section: Discussioncontrasting

confidence: 78%

“…These authors also stated that the sliding sign is simple to demonstrate and does not require advanced sonographic skills, while recognizing that the high diagnostic accuracy of US for RS is dependent on the experience of the operator. Other indirect signs of the presence of DE have been suggested, such as the presence of US signs of uterine adenomyosis, ovarian endometrioma, adhesions of the ovary to the uterus (‘reduced ovarian mobility’) and ‘kissing ovaries’ (KO).…”

Section: Introductionmentioning

confidence: 99%

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Ultrasonographic soft markers for detection of rectosigmoid deep endometriosis

Guerriero

Ajossa

Pascual

et al. 2020

Ultrasound in Obstet & Gyne

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Objectives The aim of this study was to evaluate the use of ultrasound (US) soft markers as a first‐line imaging tool to raise suspicion of rectosigmoid (RS) involvement in women suspected of having deep endometriosis. Methods We included in this prospective observational study all patients with clinical suspicion of deep endometriosis who underwent diagnostic transvaginal US evaluation at our unit from January 2016 to February 2017. Several US soft markers were evaluated for prediction of RS involvement (presence of US signs of uterine adenomyosis, presence of an endometrioma, adhesion of the ovary to the uterus (reduced ovarian mobility), presence of ‘kissing ovaries’ (KO) and absence of the ‘sliding sign’), using as the gold standard expert US examination for the presence of RS endometriosis. Results Included were 333 patients with clinical suspicion of deep endometriosis. Of these, 106 had an US diagnosis of RS endometriosis by an expert. The only significant variables found in the prediction model were absence of the sliding sign (odds ratio (OR), 13.95; 95% CI, 7.7–25.3), presence of KO (OR, 22.5; 95% CI, 4.1–124.0) and the interaction between these two variables (OR, 0.03; 95% CI, 0.004–0.28). Regarding their interaction, RS endometriosis was present when KO was absent and the sliding sign was present in 10% (19/190) of cases, when both KO and the sliding sign were present in 71.4% (5/7) of cases, when both KO and the sliding sign were absent in 60.8% (76/125) of cases and when KO was present and the sliding sign was absent in 54.5% (6/11) of cases. Thus, when the sliding sign was absent and/or KO was present, transvaginal US showed a specificity of 75% (95% CI, 69–80%) and a sensitivity of 82% (95% CI, 73–88%). Conclusions US findings of absence of the sliding sign and/or presence of KO in patients with clinical suspicion of endometriosis should raise suspicion of RS involvement and indicate referral for expert US examination, with a low rate of false‐negative diagnosis. Copyright © 2019 ISUOG. Published by John Wiley & Sons Ltd.

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Section: Discussioncontrasting

confidence: 78%

Section: Introductionmentioning

confidence: 99%

Ultrasonographic soft markers for detection of rectosigmoid deep endometriosis

Guerriero

Ajossa

Pascual

et al. 2020

Ultrasound in Obstet & Gyne

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“…Unfortunately, there is a paucity of literature on evaluation of the lateral compartment and parametrium, from a preoperative diagnostic perspective, despite advancements in TVS for the diagnosis of DE . Exacoustos et al . describe sensitivities of identifying right and left parametrial DE of 67.9% and 78.8%, respectively.…”

Section: Introductionmentioning

confidence: 99%

A pictorial guide to the ultrasound identification and assessment of uterosacral ligaments in women with potential endometriosis

Leonardi

Condous

2019

Australas J Ultrason Med

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We believe the uterosacral ligaments (USLs) are an essential key to resolving the dilemma of diagnosing endometriosis non-invasively. This editorial will utilise laparoscopic and ultrasonographic figures and videos, along with written descriptive techniques, to educate clinicians, sonographers, sonologists and radiologists on normal and abnormal USLs to improve knowledge and skill in scanning patients with possible endometriosis.

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“…Endometriome imponieren durch ein charakteristisches sonografisches Erscheinungsbild, sie können auch bilateral auftreten [1]. Sie können eine Indikatorläsion darstellen für ebenfalls weitere vorliegende Läsionen, insbesondere tief infiltrierende.…”

Section: Endometriomeunclassified

Diagnostik und Therapie der Endometriose bei Kinderwunsch

Krämer¹

2020

Frauenheilkunde up2date

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Isolated Ovarian Endometrioma: A History Between Myth and Reality

Cited by 46 publications

References 34 publications

Ultrasonographic soft markers for detection of rectosigmoid deep endometriosis

Ultrasonographic soft markers for detection of rectosigmoid deep endometriosis

A pictorial guide to the ultrasound identification and assessment of uterosacral ligaments in women with potential endometriosis

Diagnostik und Therapie der Endometriose bei Kinderwunsch

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